Blanc, Michael Scott

Blanc, Michael Scott is an individual health care provider with primary practice located at 3350 Executive Dr Suite 100, San Angelo TX 76904-6878. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Blanc, Michael Scott can be contacted via phone (325) 245-4501.

Contact Information

Primary practice address
3350 Executive Dr Suite 100 San Angelo TX 76904-6878
Phone: (325) 245-4501
Fax: (325) 245-4008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X L3583 Texas

Profile Details

NPI number 1932139953
LBN Legal business name Blanc, Michael Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Mar 2nd, 2021 - about 5 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 1932139953 NPPES
Texas MEDICAID 151420002
Texas MEDICAID 151420003
Texas Other 8U8633
Texas MEDICAID 151420001

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