Blanco, Jorge D

Blanco, Jorge D is an sole proprietor health care provider with primary practice located at 420 E 6Th St Ste 202 , Odessa TX 79761-4572. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Blanco, Jorge D can be contacted via phone (432) 582-8757.

Contact Information

Primary practice address
420 E 6Th St Ste 202 Odessa TX 79761-4572
Phone: (432) 582-8757
Fax: (432) 582-8928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X F3413 Texas

Profile Details

NPI number 1083656938
LBN Legal business name Blanco, Jorge D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Jan 5th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083656938 NPPES
Texas MEDICAID 112711004

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