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NPI Code Detail

MEDICARE: CHARIAH YOUNG FNP

MEDICARE: CHARIAH YOUNG FNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2024061917TX
2363LF0000XFamily Nurse PractitionerAP140455TX

General Provider Information

NPI Number : 1750848057
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARIAH YOUNG FNP
Provider Business Mailing Address
First Line : 17350 STATE HIGHWAY 249 STE 220
Second Line :
City : HOUSTON
State : TX
Zip : 77064-1132
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10601 CLARENCE DR STE 250
Second Line :
City : FRISCO
State : TX
Zip : 75033-3867
Country : US
Telephone Number : 972-585-6255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2019
Last Update Date : 07/19/2024

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