Organization
MOISES I. BLANCAS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOISES I BLANCAS PT (OWNER)
(915) 629-2675
Entity
Organization
Contact information
Practice address
1360 N LEE TREVINO DR, SUITES 302-303, EL PASO, TX 79936-6400
(915) 629-2675
(915) 629-2684
Mailing address
1360 N LEE TREVINO DR, SUITES 302-303, EL PASO, TX 79936-6400
(915) 629-2675
(915) 629-2684
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
TX
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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