Individual
BLAINE MITCHELL PANTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(713) 798-1000
Mailing address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(713) 798-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1138829
TX
363L00000X
Nurse Practitioner
886999
TX
Other
Enumeration date
10/11/2023
Last updated
03/14/2025
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