Polanco, Daniel
Polanco, Daniel is an individual health care provider with primary practice located at 7430 Remcon Cir Bldg A, El Paso TX 79912-3514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Polanco, Daniel can be contacted via phone (915) 584-0051.Contact Information
Primary practice address
7430 Remcon Cir Bldg A
El Paso TX 79912-3514
Phone: (915) 584-0051
Fax: (915) 833-1114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L2557 | Texas |
Profile Details
| NPI number | 1568469856 |
|---|---|
| LBN Legal business name | Polanco, Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Oct 15th, 2015 - about 9 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 | 1568469856 | NPPES |
| Texas | MEDICAID | 145983603 | |
| Texas | MEDICAID | 1459836-02 | |
| Texas | Other | TXB154608 | |
| Texas | Other | 8707B9 |
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