Elizabeth L Young, MD | |
225 E Beauregard Ave, San Angelo, TX 76903-5920 | |
(325) 658-1511 | |
Not Available |
Full Name | Elizabeth L Young |
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Gender | Female |
Speciality | Pediatrics |
Location | 225 E Beauregard Ave, San Angelo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114917689 | NPI | - | NPPES |
040313101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | J8637 (Texas) | Primary |
Entity Name | Shannon Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
Mailing Address | Practice Location Address |
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Elizabeth L Young, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Elizabeth L Young, MD 225 E Beauregard Ave, San Angelo, TX 76903-5920 Ph: (325) 658-1511 |
Alejandra C Ayestaran Cassani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2141 Hamilton Way, Ste 100, San Angelo, TX 76904 Phone: 325-245-4301 Fax: 325-245-4034 | |
Hector Acton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2141 Hamilton Way, Ste. 100, San Angelo, TX 76904 Phone: 325-245-4000 | |
Sara Elizabeth Halfmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3555 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-949-9555 | |
Stephen P Sawyer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Dr. Fernando Gonzalez, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166 | |
Dr. Jane Rider, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2141 Hamilton Way, Ste. 100, San Angelo, TX 76904 Phone: 325-245-4000 |