Steven Dewayne Young Sr.
Private Vehicle in Tyler, TX. Individual provider (NPI-1).
NPI number1215701495
StatusActive
Last updated in NPPESFeb 9, 2024
Details
- NPI
- 1215701495
- Entity type
- Individual (NPI-1)
- Name
- Mr. Steven Dewayne Young Sr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2023
- Certification date
- Feb 8, 2024
- Last updated
- Feb 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | – | – | Yes |
| 343800000X | Secured Medical Transport (VAN) | knf5209 | TX |
Practice location
10978 County Road 342Tyler, TX 75706-2110
Phone 903-343-6993
Mailing address
10978 County Road 342Tyler, TX 75706-2110
Phone 903-343-6993
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