Provider Demographics
NPI:1629128194
Name:YOUNG, ROBERT S (PHD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:S
Last Name:YOUNG
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:8411 HAVERSHAM
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-2455
Mailing Address - Country:US
Mailing Address - Phone:210-833-4979
Mailing Address - Fax:210-680-3224
Practice Address - Street 1:4100 DUVAL RD
Practice Address - Street 2:BUILDING 2, SUITE 201
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-3550
Practice Address - Country:US
Practice Address - Phone:512-339-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics