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
Fax: (682) 223-1346
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497837496 NPPES
California MEDICAID 00A805320
California Other 344740YTNB
California MEDICAID 290680202

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