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Organization

WEST TEXAS MATERNAL FETAL MEDICINE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JORGE D BLANCO M.D. (MANAGING DIRECTOR)
(432) 413-9252
Entity
Organization

Contact information

Practice address
810 N DIXIE BLVD, SUITE 109, ODESSA, TX 79761-2803
(432) 582-2277
Mailing address
PO BOX 4123, ODESSA, TX 79760-4123
(432) 582-2277

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
F3413
TX

Other

Enumeration date
11/18/2013
Last updated
11/18/2013
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