MEDICARE: HANNAH ELIZABETH YOUNG PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant		TX

General Provider Information

NPI Number	:	1073481701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH ELIZABETH YOUNG PA-C

Provider Business Mailing Address
First Line	:	3533 S ALAMEDA ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-1721
Country	:	US
Telephone Number	:	361-694-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3533 S ALAMEDA ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-1721
Country	:	US
Telephone Number	:	361-694-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2025
Last Update Date	:	02/05/2026

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