Individual
GUY YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-3030
Mailing address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-3030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD449013
PA
207P00000X
Emergency Medicine Physician
Primary
Q4876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102835389
—
PA
01
—
1621284
GATEWAY
PA
01
—
789821
UPMC
PA
Enumeration date
06/16/2010
Last updated
02/17/2025
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