Avery Young
Physician Assistant · Canyon, TX
Practice location
911 23rd StCanyon, TX 79015-4645
- Phone
- (806) 655-2104
NPI record
- NPI
- 1700389715
- Entity type
- Individual (Type 1)
- Enumeration date
- March 15, 2018
- Last updated
- October 18, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
PA11678 | TX |
Mailing address
PO Box 201Amarillo, TX 79105-0201
About Avery Young
Avery Young is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 911 23rd St, Canyon, TX 79015-4645. The NPI number 1700389715 was assigned on March 15, 2018 and the record was last updated on October 18, 2018.
Avery Young lists a license in the registry: #PA11678 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Avery Young?
The NPI number is 1700389715.
What is the phone number of Avery Young?
The phone number listed for the practice location is (806) 655-2104.
Where is Avery Young located?
911 23rd St, Canyon, TX 79015-4645.
What is the taxonomy code for Avery Young?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physician Assistant providers in Canyon
- Sean E. Green, PA-C911 23rd St