Active NPI
Robert S Young, PH.D.
- Ph.D. Medical Genetics
- Austin, TX
National Provider Identifier
1629128194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- Practice address
- 4100 Duval Rd
Building 2, Suite 201
Austin, TX 78759-3550 - Phone
- (512) 339-1010
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | Primary |
Addresses
Primary practice location
4100 Duval Rd
Building 2, Suite 201
Austin, TX 78759-3550
Mailing address
8411 Haversham
San Antonio, TX 78254-2455
Phone (210) 833-4979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agi Counseling Services Inc | Medical Genetics, PH.D. Medical Genetics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ph.D. Medical Genetics
- Austin, TX
- NPI 1285833988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1629128194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8411 HAVERSHAM",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782542455",
"telephone_number": "210-833-4979",
"fax_number": "210-680-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 DUVAL RD",
"address_2": "BUILDING 2, SUITE 201",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787593550",
"telephone_number": "512-339-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ROBERT",
"middle_name": "S",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "170100000X",
"taxonomy_group": "",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.