Individual
JENNIFER KENT YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
17207 KUYKENDAHL RD, SUITE 200, SPRING, TX 77379-8423
(832) 698-5320
Mailing address
17207 KUYKENDAHL RD, SUITE 200, SPRING, TX 77379-8423
(832) 698-5320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M0458
TX
207L00000X
Anesthesiology Physician
Primary
M0458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M0458
MEDICAL LICENSE
TX
Enumeration date
04/03/2006
Last updated
11/15/2023
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