Young, James R
Young, James R is an sole proprietor health care provider with primary practice located at 320 Russell Blvd , Nacogdoches TX 75965-1240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Young, James R can be contacted via phone (936) 559-9019.Contact Information
Primary practice address
320 Russell Blvd
Nacogdoches TX 75965-1240
Phone: (936) 559-9019
Fax: (936) 462-7876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | K4616 | Texas |
Profile Details
| NPI number | 1427024074 |
|---|---|
| LBN Legal business name | Young, James R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2006 |
| Last updated | May 19th, 2023 - about 3 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 | 1427024074 | NPPES |
| Texas | Other | 8BF233 | BCBS IND |
| Texas | Other | 0045LB | BCBS IND |
| Texas | MEDICAID | 038536102 | BCBS IND |
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