Young, Byron K

Young, Byron K is an individual health care provider with primary practice located at 151 Country Lane Dr , Lumberton TX 77657-6803. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Young, Byron K can be contacted via phone (409) 755-3010.

Contact Information

Primary practice address
151 Country Lane Dr Lumberton TX 77657-6803
Fax: (409) 755-1634
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 578690 Texas

Profile Details

NPI number 1336111640
LBN Legal business name Young, Byron K
Credentials RN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Aug 22nd, 2014 - about 12 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 1336111640 NPPES
Texas MEDICAID 152138702

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