Blanco, Angel I

Blanco, Angel I is an individual health care provider with primary practice located at 6400 Fannin St Ste 220 , Houston TX 77030-1553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Blanco, Angel I can be contacted via phone (713) 704-2650.

Contact Information

Primary practice address
6400 Fannin St Ste 220 Houston TX 77030-1553
Phone: (713) 704-2650
Fax: (713) 704-5710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X M1026 Texas

Profile Details

NPI number 1447240593
LBN Legal business name Blanco, Angel I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jan 30th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447240593 NPPES
Texas MEDICAID 166102702
Texas Other 166102704
Texas Other P00859678
Texas Other 1447240593
Texas MEDICAID 166102703

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