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Individual
ANDREW J BLANKENAU
Active
Individual
ANDREW J BLANKENAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J3744
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3250406
BLUELINK
TX
01
—
75-2592653
TAX ID
TX
01
—
83Y900
BCBS
TX
01
—
J3744
LICENSE
TX
Enumeration date
09/16/2006
Last updated
03/07/2023
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