Provider Demographics
NPI:1679707228
Name:YOUNG HEALTHCARE INC.
Entity Type:Organization
Organization Name:YOUNG HEALTHCARE INC.
Other - Org Name:TEXAS SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-855-0200
Mailing Address - Street 1:15003 F.M. 529
Mailing Address - Street 2:SUITE F
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3247
Mailing Address - Country:US
Mailing Address - Phone:281-855-0200
Mailing Address - Fax:281-855-0611
Practice Address - Street 1:15003 F.M. 529
Practice Address - Street 2:SUITE F
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-3247
Practice Address - Country:US
Practice Address - Phone:281-855-0200
Practice Address - Fax:281-855-0611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9327111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty