Bianco, J A
Bianco, J A is an sole proprietor health care provider with primary practice located at 2909 S Hampton Rd Ste C108, Dallas TX 75224-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bianco, J A can be contacted via phone (214) 339-2153.Contact Information
Primary practice address
2909 S Hampton Rd Ste C108
Dallas TX 75224-3000
Phone: (214) 339-2153
Fax: (214) 339-3843
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | D8661 | Texas |
Profile Details
NPI number | 1912991365 |
---|---|
LBN Legal business name | Bianco, J A |
Credentials | D O P A |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 31st, 2005 |
Last updated | Mar 2nd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912991365 | NPPES |
Texas | MEDICAID | 031873501 |
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