Young, Timothy Noel

Young, Timothy Noel is an individual health care provider with primary practice located at 5300 North St , Nacogdoches TX 75965-1370. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Young, Timothy Noel can be contacted via phone (936) 569-8278.

Contact Information

Primary practice address
5300 North St Nacogdoches TX 75965-1370
Phone: (936) 569-8278
Fax: (936) 569-0275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X N4219 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X N4219 Texas

Profile Details

NPI number 1962403071
LBN Legal business name Young, Timothy Noel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 1st, 2012 - about 14 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 1962403071 NPPES
Texas Other P00740176 RR MEDICARE
Texas MEDICAID 2057937-01 RR MEDICARE

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