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Organization

J A BIANCO D O P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH A BIANCO DO (PHYSICIAN)
(214) 339-2153
Entity
Organization

Contact information

Practice address
2909 S HAMPTON RD, STE C108, DALLAS, TX 75224-3000
(214) 339-2153
(214) 751-2167
Mailing address
2909 S HAMPTON RD, STE C108, DALLAS, TX 75224-3049
(214) 339-2153
(214) 751-2167

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D8661
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031873501
TX
Enumeration date
01/25/2010
Last updated
03/07/2012
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