Individual
DR. J A BIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D O P A
Contact information
Practice address
2909 S HAMPTON RD, STE C108, DALLAS, TX 75224-3000
(214) 339-2153
(214) 339-3843
Mailing address
2909 S HAMPTON RD, STE C108, DALLAS, TX 75224-3000
(214) 339-2153
(214) 339-3843
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
08/31/2005
Last updated
03/02/2012
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