| Jinkeun You, | |
|
4009 Old Denton Rd Ste 104, Carrollton, TX 75007-1022 | |
| (469) 521-9333 | |
| Not Available |
| Full Name | Jinkeun You |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4009 Old Denton Rd Ste 104, Carrollton, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396585709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1398938 (Texas) | Primary |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20190128000322 |
| Mailing Address | Practice Location Address |
|---|---|
| Jinkeun You, 207 Meredith Ct, Irving, TX 75063-5945 Ph: (469) 865-7068 | Jinkeun You, 4009 Old Denton Rd Ste 104, Carrollton, TX 75007-1022 Ph: (469) 521-9333 |
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