Young, Virginia Ruth

Young, Virginia Ruth is an individual health care provider with primary practice located at 1935 Medical District Dr , Dallas TX 75235-7701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Young, Virginia Ruth can be contacted via phone (214) 456-5686.

Contact Information

Primary practice address
1935 Medical District Dr Dallas TX 75235-7701
Phone: (214) 456-5686
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X AP119488 Texas

Profile Details

NPI number 1659750537
LBN Legal business name Young, Virginia Ruth
Credentials PCNS- BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2015
Last updated Nov 29th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659750537 NPPES
Texas MEDICAID 1659750537

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