Youngblood, Michael

Youngblood, Michael is an individual health care provider with primary practice located at 11800 Fm 1960 Rd W , Houston TX 77065-3840. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Youngblood, Michael can be contacted via phone (281) 664-2107.

Contact Information

Primary practice address
11800 Fm 1960 Rd W Houston TX 77065-3840
Phone: (281) 664-2107
Fax: (281) 955-5875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT1043826 Texas

Profile Details

NPI number 1366599045
LBN Legal business name Youngblood, Michael
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Mar 9th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366599045 NPPES
Texas Other 8T3572 BLUE CROSS BLUE SHIELD PROVIDER RECORD ID

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