Active NPI
Youngvax
- Public Health or Welfare Agency
- Mansfield, TX
National Provider Identifier
1275962623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- YOUNGVAX
- Practice address
- 606 Hogan Alley Dr
Mansfield, TX 76063-5473 - Phone
- (817) 703-9375
- NPI assigned
- Nov 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawndra Young
- Title
- Director
- Phone
- (817) 703-9375
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
606 Hogan Alley Dr
Mansfield, TX 76063-5473
Mailing address
606 Hogan Alley Dr
Mansfield, TX 76063-5473
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Burleson, TX
- NPI 1861729931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383696000000",
"number": "1275962623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 HOGAN ALLEY DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 HOGAN ALLEY DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635473",
"telephone_number": "817-703-9375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNGVAX",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-06",
"last_updated": "2013-11-06",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "SHAWNDRA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "817-703-9375"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.