Individual
FAYE E. YOUNGBLOOD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(888) 804-3000
(817) 334-0235
Mailing address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(888) 804-3000
(817) 334-0235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
448121
TX
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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