Provider Demographics
NPI:1528037819
Name:YOUNG, HENRY T JR (MD)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:T
Last Name:YOUNG
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:8490 PICARDY AVE
Mailing Address - Street 2:BLDG 200
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3731
Mailing Address - Country:US
Mailing Address - Phone:225-237-1754
Mailing Address - Fax:225-237-1722
Practice Address - Street 1:1286 DEL ESTE AVE
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-4898
Practice Address - Country:US
Practice Address - Phone:225-667-3100
Practice Address - Fax:225-667-3993
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2014-08-01
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Provider Licenses
StateLicense IDTaxonomies
LA016391207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1338656Medicaid
LA4Q076DX04Medicare PIN