Blancas, Moses Isaac
Blancas, Moses Isaac is an individual health care provider with primary practice located at 1721 N Lee Trevino Dr Ste B , El Paso TX 79936-4564. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Blancas, Moses Isaac can be contacted via phone (915) 590-1910.Contact Information
Primary practice address
1721 N Lee Trevino Dr Ste B
El Paso TX 79936-4564
Phone: (915) 590-1910
Fax: (915) 225-6422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1147100 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 2251H1200X | 1147100 | Texas |
Profile Details
| NPI number | 1366452237 |
|---|---|
| LBN Legal business name | Blancas, Moses Isaac |
| Credentials | LPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 15th, 2015 - about 10 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 | 1366452237 | NPPES |
| Texas | MEDICAID | 2802654-01 |
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