Provider Demographics
NPI:1144486994
Name:ROBERT A. YOUNG
Entity type:Organization
Organization Name:ROBERT A. YOUNG
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-288-7441
Mailing Address - Street 1:1336 N GALLOWAY AVE
Mailing Address - Street 2:SUITE 124
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-7417
Mailing Address - Country:US
Mailing Address - Phone:972-288-7441
Mailing Address - Fax:972-289-8025
Practice Address - Street 1:1336 N GALLOWAY AVE
Practice Address - Street 2:SUITE 124
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-7417
Practice Address - Country:US
Practice Address - Phone:972-288-7441
Practice Address - Fax:972-289-8025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0588/1604213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A6294OtherMEDICARE TPAN
TX2494HMOtherBLUE CROSS/BLUE SHIELD
TX0927550Medicaid
TX8A6295OtherMEDICARE TPAN
TX1134213812OtherDR. ARRINGTON NPI
TX1760492839OtherDR. YOUNG NPI
TX1141690001Medicare NSC
TXU95017Medicare UPIN
TXT16788Medicare UPIN
TX00111VMedicare PIN