Todd J Youngblood in Shenandoah - Family Medicine
Todd J Youngblood - NPI 1912919473
Todd J Youngblood is a Family Medicine in Shenandoah, Texas. Todd J Youngblood practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Todd J Youngblood is 1912919473. The last update date is 2023-09-15.
Todd J Youngblood's current location address is 9201 Pinecroft Dr Ste 200, Shenandoah, Texas. You can contact this provider via phone number 8128639554 and fax number 8322325591. The mailing address for Todd J Youngblood is 9201 Pinecroft Dr Ste 200, Shenandoah, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd J Youngblood |
|---|---|
| Address | 9201 Pinecroft Dr Ste 200, Shenandoah, Texas |
| Phone Number | 8128639554 |
| Fax Number | 8322325591 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912919473 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2023-09-15 |
Provider Mailing Address Detail
| Address | 9201 Pinecroft Dr Ste 200 |
|---|---|
| City | Shenandoah |
| State | Texas (TX) |
| Post Code | 773803889 |
| Phone Number | 8128639554 |
| Fax Number | 8322325591 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | M1413 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 186295501 | TX | -- | |
| 8R7355 | TX | BCBS OF TEXAS |
Post Comment/ Review Below
What is the Todd J Youngblood's 1912919473?
The Todd J Youngblood's NPI (National Provider Identifier) Number is 1912919473. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Todd J Youngblood?
The Todd J Youngblood is situated at 9201 Pinecroft Dr Ste 200, in the city of Shenandoah, state of TX, with the zip code 773803889.
What is Todd J Youngblood's specialized field of practice, and what is the corresponding taxonomy classification code?
The Todd J Youngblood's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Todd J Youngblood receive its 1912919473 assignment from the Centers for Medicare & Medicaid Services?
The Todd J Youngblood was assigned its 1912919473 by the Centers for Medicare & Medicaid Services on 2006-08-13.
When was the information pertaining to Todd J Youngblood most recently updated or revised?
The details related to Todd J Youngblood, including its address, specialty, and other relevant information, were last updated or revised on 2023-09-15.
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