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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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 1952399230 NPPES
Texas MEDICAID 123408006

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