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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 1912991365 NPPES
Texas MEDICAID 031873501

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