Steven Youngblood Md Llc | |
5467 W Park Ave Apt 239 Houma LA 70364-1364 | |
(985) 209-3410 | |
Not Available |
Full Name | Steven Youngblood Md Llc |
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Speciality | Internal Medicine |
Location | 5467 W Park Ave, Houma, Louisiana |
Authorized Official Name and Position | Steven Michael Youngblood (PRESIDENT/OWNER) |
Authorized Official Contact | 9852093410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Steven Youngblood Md Llc Po Box 1027 Houma LA 70361-1027 Ph: () - | Steven Youngblood Md Llc 5467 W Park Ave Apt 239 Houma LA 70364-1364 Ph: (985) 209-3410 |
NPI Number | 1134441678 |
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Provider Enumeration Date | 02/25/2010 |
Last Update Date | 09/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134441678 | NPI | - | NPPES |
1626970 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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