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:
Health care specialties
| Specialty | Code | License # | 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 9 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 | 1366599045 | NPPES |
| Texas | Other | 8T3572 | BLUE CROSS BLUE SHIELD PROVIDER RECORD ID |
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