Organization Active NPI

Young Health & Wellness Clinic PA

  • Chiropractor
  • Texarkana, TX
National Provider Identifier
1902968415
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F005573 Issued in TX
Legal business name
YOUNG HEALTH & WELLNESS CLINIC PA
Practice address
1718 Richmond Rd
Texarkana, TX 75503-2415
Phone
(903) 838-5883
Fax
(903) 223-9075
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph A Young, DC
Title
President
Phone
(903) 838-5883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F005573 TX Primary

Addresses

Primary practice location

1718 Richmond Rd
Texarkana, TX 75503-2415

Mailing address

1718 Richmond Rd
Texarkana, TX 75503-2415
Phone (903) 838-5883

Other names 1

  • UNITED HEALTH & WELLNESS CLINIC PA Doing business as

National Provider Directory

National Provider Directory

Locations

1718 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-5883

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902968415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032415",
            "telephone_number": "903-838-5883",
            "fax_number": "903-223-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032415",
            "telephone_number": "903-838-5883",
            "fax_number": "903-223-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG HEALTH & WELLNESS CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-838-5883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "F005573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED HEALTH & WELLNESS CLINIC PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.