BLAINE MITCHELL PANTANO

HOUSTON, TX
NPI1144001611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  1138829)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: TX  886999)
Enumeration Date2023-10-11
Last Update Date2025-03-14
Business Address
BLAINE MITCHELL PANTANO APRN
6720 BERTNER AVE
HOUSTON, TX 77030-2604
Phone number: 713-798-1000
Mailing Address
BLAINE MITCHELL PANTANO APRN
6720 BERTNER AVE
HOUSTON, TX 77030-2604
Phone number: 713-798-1000