Individual
MICHAEL YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11800 FM 1960 RD W, HOUSTON, TX 77065-3840
(281) 664-2107
(281) 955-5875
Mailing address
11800 FM 1960 RD W, HOUSTON, TX 77065-3840
(281) 664-2107
(281) 955-5875
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT1043826
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T3572
BLUE CROSS BLUE SHIELD PROVIDER RECORD ID
TX
Enumeration date
01/04/2007
Last updated
03/09/2017
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