Individual
JOHN WADE YOUNGBLOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8300 FLOYD CURL DR, SAN ANTONIO, TX 78229-3931
(210) 450-9000
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D5877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123408006
—
TX
Enumeration date
10/11/2005
Last updated
10/18/2011
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