Young, Carla L
Young, Carla L is an individual health care provider with primary practice located at 1600 W College St Suite 685, Grapevine TX 76051-3580. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Young, Carla L can be contacted via phone (682) 223-1406.Contact Information
Primary practice address
1600 W College St Suite 685
Grapevine TX 76051-3580
Phone: (682) 223-1406
Fax: (682) 223-1346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | P1154 | Texas |
Profile Details
| NPI number | 1497837496 |
|---|---|
| LBN Legal business name | Young, Carla L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Feb 26th, 2016 - about 10 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 | 1497837496 | NPPES |
| California | MEDICAID | 00A805320 | |
| California | Other | 344740YTNB | |
| California | MEDICAID | 290680202 |
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