Individual
DR. ANGELA SALAS BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5601 BRODIE LN, SUITE 530, SUNSET VALLEY, TX 78745-2538
(512) 358-8200
Mailing address
15202 KEVIN LN, AUSTIN, TX 78734-2342
(512) 394-6263
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6857T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81692Q
BCBS
TX
Enumeration date
12/05/2006
Last updated
12/28/2007
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