Tyler Young, MD
Student in an Organized Health Care Education/Training Program in San Antonio, TX. Individual provider (NPI-1).
NPI number1003663972
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1003663972
- Entity type
- Individual (NPI-1)
- Name
- Tyler Young
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2024
- Certification date
- Apr 30, 2024
- Last updated
- Apr 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 10087335 | TX | Yes |
| 208800000X | Urology | 10087335 | TX |
Practice location
7703 Floyd Curl DrSan Antonio, TX 78229-3901
Phone 210-567-7000
Mailing address
11118 Oak RiseSan Antonio, TX 78249-3332
Phone 210-722-2820
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