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Individual
MS. PEDRO ANTONIO BLANDON
Active
Individual
MS. PEDRO ANTONIO BLANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L5254
TX
207RN0300X
Nephrology Physician
C1-0006902
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000022966
—
DE
01
—
C1-0006902
DELAWARE LICENSE
DE
01
—
L5254
TEXAS LICENSE
TX
01
—
M0145214
DPS (CONTROLLED SUBSTANCE
TX
01
—
MD4244
CONTROLLED SUBSTANCE #
DE
Enumeration date
07/12/2005
Last updated
03/07/2023
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