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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1912919473 NPPES
Texas MEDICAID 186295501
Texas Other 8R7355

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