Young, Jake

Young, Jake is an individual health care provider with primary practice located at 3811 Sagebriar Dr , Bryan TX 77802-6107. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Young, Jake can be contacted via phone (979) 774-0498.

Contact Information

Primary practice address
3811 Sagebriar Dr Bryan TX 77802-6107
Phone: (979) 774-0498
Fax: (979) 774-7673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X BP20076833 Texas

Profile Details

NPI number 1710514344
LBN Legal business name Young, Jake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2020
Last updated May 3rd, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710514344 NPPES
Texas MEDICAID BP20076833

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