Roger Wayne Young, OD

NPI #1689665630 in Port Arthur, Texas

Provider Information

NPI Number: 1689665630
Entity Type: Individual
Name: Roger Wayne Young, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 31, 2005
Last Updated: Sep 18, 2012

Practice Location

Address: 8700 CENTRAL MALL DRIVE
City: Port Arthur
State: Texas
ZIP Code: 77642-8058
Phone: (409) 722-6141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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