Young, Georgina
Young, Georgina is an sole proprietor health care provider with primary practice located at 2401 Fm 646 Rd W Suite C, Dickinson TX 77539-3249. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Young, Georgina can be contacted via phone (281) 554-0177.Contact Information
Primary practice address
2401 Fm 646 Rd W Suite C
Dickinson TX 77539-3249
Phone: (281) 554-0177
Fax: (281) 554-0178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | L6728 | Texas |
Profile Details
| NPI number | 1295762037 |
|---|---|
| LBN Legal business name | Young, Georgina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jul 23rd, 2008 - about 16 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 | 1295762037 | NPPES |
| Texas | Other | 5874713120 | CHAMPUS |
| Texas | MEDICAID | 165076401 | CHAMPUS |
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