Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GUSTAVE WALTER YOUNGER III, ATC, LAT
ActiveMR. GUSTAVE WALTER YOUNGER III, ATC, LAT is a Athletic Trainer healthcare provider located in NACOGDOCHES, Texas. NPI 1770545113 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · NACOGDOCHES, TX
Registration Details
- NPI Number
- 1770545113
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2006 (20.22106607033 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT3062 (TX)
Practice Information
- Address
-
STEPHEN F. AUSTIN STATE UNIVERSITYHOMER BRYCE STADIUM FIELD HOUSENACOGDOCHES, TX, 759620001Browse TX providers · Browse ZIP 75962
- Phone
- 9364684550
- Fax
- 9364684052
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in NACOGDOCHES, TX
| Name | Credential | NPI |
|---|---|---|
| MR. BRUCE ALLAN MCCRARY | L.A.T., A.T.C | 1568437770 |
| DR. LINDA STARK BOBO | PHD, ATC, LAT | 1073643300 |
| MR. WILLIAM PARKER BOBO | ATC, LAT | 1063655579 |
| KATIE LAURIDSEN | ATC, LAT | 1912278193 |
| CORY MORRIS | — | 1649542234 |
| ALBERTA NICHOLS | ATC, LAT | 1336411818 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.