Individual
DR. ANDREW JOHN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1551
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1551
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1551
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151244401
—
TX
01
—
84532N
BCBS PROVIDER NUMBER
TX
01
—
P00140108
RAILROAD MEDICARE
TX
Enumeration date
06/09/2005
Last updated
09/01/2020
Update your record
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