MEDICARE: DR. ROBERT MICHAEL YOUNG MD

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	207V00000X	Obstetrics & Gynecology Physician	E4784	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1871896100	OTHER	TX	GROUP NPI

General Provider Information

NPI Number	:	1639177298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT MICHAEL YOUNG MD

Provider Business Mailing Address
First Line	:	PO BOX 692127
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78269-2127
Country	:	US
Telephone Number	:	210-325-4420
Fax Number	:	210-492-2488

Provider Business Practice Location Address
First Line	:	7922 EWING HALSELL DR
Second Line	:	SUITE 470
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3862
Country	:	US
Telephone Number	:	210-614-6677
Fax Number	:	210-614-6445

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	02/26/2019

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Directions to “ DR. ROBERT MICHAEL YOUNG MD” Practice Location

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