Provider Demographics
NPI:1275773517
Name:DR. JOEL B. YOUNG, P.C.
Entity Type:Organization
Organization Name:DR. JOEL B. YOUNG, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-414-8703
Mailing Address - Street 1:3112 N JUPITER RD
Mailing Address - Street 2:SUITE 217
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-6578
Mailing Address - Country:US
Mailing Address - Phone:972-414-8703
Mailing Address - Fax:972-414-8703
Practice Address - Street 1:3112 N JUPITER RD
Practice Address - Street 2:SUITE 217
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-6578
Practice Address - Country:US
Practice Address - Phone:972-414-8703
Practice Address - Fax:972-414-8703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1508953910OtherTYPE 1 NPI
TX1508953910OtherTYPE 1 NPI