PHILIP BLANCO ANTIPORTA

FORT WORTH, TX
NPI1104139732
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RI0200X Internal Medicine Infectious Disease
(Licence: TX  R8147)
Additional Taxonomies207RI0200X Internal Medicine Infectious Disease
(Licence: IL  036.133199)
Enumeration Date2010-07-25
Last Update Date2022-03-10
Business Address
DR. PHILIP BLANCO ANTIPORTA M.D.
1325 PENNSYLVANIA AVE STE 350
FORT WORTH, TX 76104-2172
Phone number: 817-887-9389
Mailing Address
DR. PHILIP BLANCO ANTIPORTA M.D.
PO BOX 802772
DALLAS, TX 75380-2772
Phone number: 972-484-7700