Youngblood, John Wade
Youngblood, John Wade is an individual health care provider with primary practice located at 8300 Floyd Curl Dr , San Antonio TX 78229-3931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Youngblood, John Wade can be contacted via phone (210) 450-9000.Contact Information
Primary practice address
8300 Floyd Curl Dr
San Antonio TX 78229-3931
Phone: (210) 450-9000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | D5877 | Texas |
Profile Details
NPI number | 1952399230 |
---|---|
LBN Legal business name | Youngblood, John Wade |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 11th, 2005 |
Last updated | Oct 18th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952399230 | NPPES |
Texas | MEDICAID | 123408006 |
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