P Praxis·MD
● Active Type 1 · Individual

DR. Jeffrey Paul Young, M.D.

Dermatology·Texarkana, TX· NPI 1215934062 · Enumerated 2005 · 20 years on NPI
Young is 1 of 11 dermatology providers in Texarkana and 1 of 1632 in Texas.
NPI age
20 years
Enumerated 2005-07-07
Primary specialty
Dermatology
Plus 2 subspecialties
Licensed in
TX, AR, OK
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-06-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1632 active dermatology providers in Texas.

NPI age
20 years
↑ 4 yr above median (16 yr)
State licenses
3 states
Top 92% — 8% of peers are multi-state
Subspecialties
1
In the 29% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-07Enumerated in NPPES
2005 2026

Where they practice

Practice location
2011 Moores Ln
Texarkana, TX 755031841
📞 9037922777fax 9037946728
Mailing address
2011 Moores Ln
Texarkana, TX 755031841
📞 9037922777fax 9037946728

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    TX license #K5033 taxonomy 207N00000X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    AR license #E2607OK license #20679 taxonomy 174400000X

Identifiers

TypeValueNotes
01 070012558 RR MEDICARE
05 (TX) 031075701
05 (AR) 134647001
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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