JEFF P YOUNG MD PA
Dermatology at Moores Ln, Texarkana, TX

License number
Texas K5033
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. JEFF P YOUNG M.D.
Title: OWNER
Phone: (903) 792-2777
Address
Address
2011 Moores Ln, Texarkana, TX 75503
National Provider ID: 1184959082
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JEFF P. YOUNG, M.D., PA

Texarkana, TX

Industry:
Medical Doctor's Office, Offices and Clinics of Medical Doctors
Doing business as:
Jeff P Young MD PA
Registration:
Jun 4, 1998
Phone:
(903) 792-2777 (Phone)
Description:
Offices of Physicians (except Mental Health Specialists)
Addresses:
201 College Dr, Texarkana, TX 75503 (Mailing)
2011 Moores Ln, Texarkana, TX 75503
1732 Galleria Oaks Dr, Texarkana, TX 75503
State ID:
0081899803
Business type:
Professional Association
President , Treasurer , Director , Member , Secretary , Vice-President, President:
Jeff P. Young (President , Treasurer , Director , Member , Secretary , Vice-President, President)
Agent:
Cindy A Young,201 College Dr, Texarkana, TX 75503 (Physical)
TIN:
17527601656
SIC:
8011 - Offices and Clinics of Doctors of Medicine
Company size:
19

JEFF P. YOUNG, M.D., PA

Texarkana, TX

Industry:
Medical Doctor's Office
Doing business as:
Jeff P. Young, M.D., PA
Registration:
Jun 4, 1998
Addresses:
201 College Dr, Texarkana, TX 75503 (Mailing)
2011 Moores Ln, Texarkana, TX 75503
State ID:
0081899803
Business type:
Professional Association
President , Treasurer , Director , Member , Secretary , Vice-President:
Jeff P. Young (President , Treasurer , Director , Member , Secretary , Vice-President)
Agent:
Cindy A Young,201 College Dr, Texarkana, TX 75503 (Physical)
TIN:
17527601656

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