Young, Eliot James
Young, Eliot James is an individual health care provider with primary practice located at 21 Spurs Ln Ste 300, San Antonio TX 78240-1679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Young, Eliot James can be contacted via phone (210) 699-8326.Contact Information
Primary practice address
21 Spurs Ln Ste 300
San Antonio TX 78240-1679
Phone: (210) 699-8326
Fax: (210) 561-7121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | J6827 | Texas |
Profile Details
| NPI number | 1942206008 |
|---|---|
| LBN Legal business name | Young, Eliot James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jan 20th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942206008 | NPPES |
| Texas | MEDICAID | 143841804 | |
| Texas | Other | 10613801 | |
| Texas | Other | 8BC910 |
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