Youngblood, Todd J
Youngblood, Todd J is an individual health care provider with primary practice located at 9201 Pinecroft Dr Ste 200 , Shenandoah TX 77380-3889. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Youngblood, Todd J can be contacted via phone (281) 863-9554.Contact Information
Primary practice address
9201 Pinecroft Dr Ste 200
Shenandoah TX 77380-3889
Phone: (281) 863-9554
Fax: (832) 232-5591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M1413 | Texas |
Profile Details
| NPI number | 1912919473 |
|---|---|
| LBN Legal business name | Youngblood, Todd J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Sep 15th, 2023 - about last year |
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 | 1912919473 | NPPES |
| Texas | MEDICAID | 186295501 | |
| Texas | Other | 8R7355 |
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