Individual provider · NPI-1

Alex Joseph Blanco, MD

Family Medicine · Laredo, TX

NPI number1962573055
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1962573055
Entity type
Individual (NPI-1)
Name
Alex Joseph Blanco
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 13, 2006
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineL1804TXYes

Practice location

10410 Medical Loop
Unit 3b
Laredo, TX 78045-6612

Phone 956-523-8900 · Fax 956-523-8903

Mailing address

10410 Medical Loop
Unit 3b
Laredo, TX 78045-6612

Phone 956-523-8900 · Fax 956-523-8903

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Laredo, TX