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Export Provider Record NPI 1184719486
Robert A YoungPAC
Active
NPI Number1184719486
NPI TypeNPI-1 Individual
SpecialtyPhysician Assistant, Medical
Provider Details
NPI1184719486
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-10-03
Last Updated2022-03-01
Mailing Address153 Barge Rd
Zavalla, TX 75980-3003
United States
Phone: (936) 897-1002
📍 View Map
Primary Practice Address153 Barge Rd
Zavalla, TX 75980-3003
United States
Phone: (936) 897-1002
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No363A00000X – Physician AssistantTXPA02342
Yes363AM0700X – Physician Assistant, MedicalTXPA02342
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About NPI 1184719486

Robert A Young PAC is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1184719486. The primary specialty listed is Physician Assistant, Medical. The provider is located in Zavalla, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1184719486?

NPI 1184719486 belongs to Robert A Young PAC, a Physician Assistant, Medical in Zavalla, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1184719486 active?

The current status of NPI 1184719486 in the NPPES registry is Active. The record was last updated on 2022-03-01.

What specialty is NPI 1184719486?

NPI 1184719486 is classified under the taxonomy Physician Assistant, Medical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1184719486?

You can verify NPI 1184719486 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1184719486?

The primary practice address on file for NPI 1184719486 is 153 Barge Rd, Zavalla, TX 75980-3003. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1184719486 issued?

NPI 1184719486 was first issued (enumerated) on 2006-10-03. The NPPES record was last updated on 2022-03-01.

Practice Location Map

Robert A Young is located at 153 Barge Rd, Zavalla, TX. Use the map below to find directions or verify the practice location.

📍 153 Barge Rd, Zavalla, TX 75980-3003  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Robert A Young. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1184719486. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physician AssistantPA02342TX
Physician Assistant, MedicalPA02342TX
Data Verified from CMS NPPES Last synced: 2026-08-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162