Jerry D. Young, D.O., P.A.

LBN: Jerry D. Young, D.O., P.A.
Jerry D. Young, D.O., P.A. is an health care organization with primary practice located at 740 12Th St , Bay City TX 77414-2904. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Jerry D. Young, D.O., P.A. can be contacted via phone (979) 244-1317, or through Young, Jerry D. via phone (979) 244-1317.

Contact Information

Primary practice address
740 12Th St Bay City TX 77414-2904
Phone: (979) 244-1317
Fax: (979) 244-8993
Website:
Map and Directions
Authorized official contact:
Name: Young, Jerry D. Doctor of Osteopathy (DO)
Phone: (979) 244-1317

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X J4630 Texas

Profile Details

NPI number 1285752824
LBN Legal business name Jerry D. Young, D.O., P.A.
DBA Doing business as
Authorized official Young, Jerry D. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Feb 5th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285752824 NPPES
Texas Other 00Y859 MEDICARE ID - TYPE UNSPECIFIED
Texas MEDICAID 122021202 MEDICARE ID - TYPE UNSPECIFIED

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