Individual
DR. PATRICIO MARCELO POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7208
(214) 645-4673
(214) 645-2503
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-4673
(214) 645-2503
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT 190495
PA
2086X0206X
Surgical Oncology Physician
Primary
Q1266
TX
Other
Enumeration date
11/30/2010
Last updated
10/01/2014
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