NPI age
19 years
Enumerated 2007-03-26
● Active Type 2 · Organization
Jerry D. Young, D.o., P.A.
Jerry D. Young, D.o., P.A. is 1 of 3028 surgery organizations in Texas.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Young
Owner
Last NPPES update
2011-02-05
Source: monthly bulk 2026-05
How this organization compares
Across 3028 active surgery providers in Texas.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
740 12th St
Bay City, TX 774142904
Mailing address
Po Box 203059
Dallas, TX 753203059
Authorized official
Jerry D. Young, D.O.
Owner
📞 9792441317
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Shanta Dlima, M.D. Family Medicine NPI 1205834660
- Jordan Moerbe, PA Physician Assistant NPI 1235835661
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00Y859 | MEDICARE ID - TYPE UNSPECIFIED |
| 05 (TX) | 122021202 |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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