Dr. Jorge D Blanco
Gynecologist - Maternal & Fetal Medicine
420 E 6th St Ste 202
Odessa
, Texas 79761-4572
Dr. Jorge D Blanco
Gynecologist - Maternal & Fetal Medicine
420 E 6th St Ste 202
Odessa
, Texas 79761-4572
(432) 333-2802
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Dr. Jorge D Blanco
- Po Box 4123
- Odessa, TX
- Zip : 79760-4123
- Fax : (432) 333-2802
- Phone : (432) 582-2277
Second Address
- Dr. Jorge D Blanco
- 420 E 6th St Ste 202
- Odessa, TX
- Zip : 79761-4572
- Fax : (432) 582-8928
- Phone : (432) 582-8757
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | F3413 | TX |
National Provider Identifier
| NPI | 1083656938 |
|---|---|
| Provider Name | Dr. Jorge D Blanco |
| First Address | Odessa, TX 79760-4123 |
| Second Address | Odessa, TX 79761-4572 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2006 |
| Last Update Date | 05/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 112711004 | (05) | TX |
| C13525 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.