Jerry D. Young, D.O., P.A.
LBN: Jerry D. Young, D.O., P.A.
Jerry D. Young, D.O., P.A. is an health care organization with primary practice located at 740 12Th St , Bay City TX 77414-2904. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty.
Jerry D. Young, D.O., P.A. can be contacted via phone (979) 244-1317, or through Young, Jerry D. via phone (979) 244-1317.
Contact Information
Primary practice address
740 12Th St
Bay City TX 77414-2904
Phone: (979) 244-1317
Fax: (979) 244-8993
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | J4630 | Texas |
Profile Details
NPI number | 1285752824 |
---|---|
LBN Legal business name | Jerry D. Young, D.O., P.A. |
DBA Doing business as | |
Authorized official | Young, Jerry D. Doctor of Osteopathy (DO) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 26th, 2007 |
Last updated | Feb 5th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285752824 | NPPES |
Texas | Other | 00Y859 | MEDICARE ID - TYPE UNSPECIFIED |
Texas | MEDICAID | 122021202 | MEDICARE ID - TYPE UNSPECIFIED |
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