Doctor Name: | DR. GLENN THOMAS YOUNG |
NPI Number: | 1518046341 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D8493 |
Business Practice Address: | 425 N Highland Ave # 130 Sherman, TX - 750927377 |
Business Phone Number: | 9038929179 |
Business Fax Number: | 9038682317 |
Mailing Address: | Po Box 35629, DALLAS |
State: | TX |
Postal Code: | 752350629 |
Phone Number: | 2144242200 |
Fax Number: | 2142312159 |
NPI Enumeration Date: | 11/03/2006 |
NPI Last Update Date: | 08/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D8493 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |