Young Kids Pediatrics PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G8527 Issued in TX

Legal business name

YOUNG KIDS PEDIATRICS PA

Practice address

6210 John Ryan Dr
Suite 109
Fort Worth, TX 76132-4113

Phone

(817) 361-7494

NPI assigned

Nov 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Gabbert Young, M.D.

Title

President

Phone

(817) 361-7494

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1194905141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 JOHN RYAN DR",
            "address_2": "SUITE 109",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 JOHN RYAN DR",
            "address_2": "SUITE 109",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324113",
            "telephone_number": "817-361-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG KIDS PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GABBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-361-7494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "G8527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Andrew Yost Jr., LPTA
• Haley Adawn Yott, PA
• You First Family Care PLLC
• You Get One Life, LLC
• Young & Youn Dental PLLC
• Young Men'S Christian Association of Metropolitan Fort Worth
• Amy Beth Young, RN
• Andrew Neill Young, DDS, MS
• Ashley Young, PTA
• Bryant Young, LAT

• Primary Care Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.