Provider Demographics
NPI:1730895251
Name:YOUNG, KONNIE JOYCE
Entity type:Individual
Prefix:MISS
First Name:KONNIE
Middle Name:JOYCE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 SCARLET SUNSET CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5460
Mailing Address - Country:US
Mailing Address - Phone:346-522-8744
Mailing Address - Fax:
Practice Address - Street 1:2707 SCARLET SUNSET CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5460
Practice Address - Country:US
Practice Address - Phone:346-522-8744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)