Young, Elizabeth L

Young, Elizabeth L is an individual health care provider with primary practice located at 225 E Beauregard Ave , San Angelo TX 76903-5920. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Young, Elizabeth L can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
225 E Beauregard Ave San Angelo TX 76903-5920
Phone: (325) 658-1511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X J8637 Texas

Profile Details

NPI number 1114917689
LBN Legal business name Young, Elizabeth L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Apr 25th, 2013 - about 13 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 1114917689 NPPES
Texas MEDICAID 040313101

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