Young, Andrew John
Young, Andrew John is an individual health care provider with primary practice located at 116 Imperial Dr Ste A, Victoria TX 77901-3948. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Young, Andrew John can be contacted via phone (361) 578-2777.Contact Information
Primary practice address
116 Imperial Dr Ste A
Victoria TX 77901-3948
Phone: (361) 578-2777
Fax: (361) 578-2778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1551 | Texas |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 1551 | Texas |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 1551 | Texas |
Profile Details
| NPI number | 1992709869 |
|---|---|
| LBN Legal business name | Young, Andrew John |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Sep 1st, 2020 - about 6 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 | 1992709869 | NPPES |
| Texas | MEDICAID | 151244401 | |
| Texas | Other | P00140108 | |
| Texas | Other | 84532N |
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