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Contact Information

ELVIA MARTINEZ BLANCO, MD
12505 LEBANON RD
FRISCO, TX75035-8298
 Phone: 972-963-3333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ELVIA MARTINEZ BLANCO · (Female)

NPI # 1629386974
Status Active
Credentials MD
Entity Individual
Enumeration date 09/21/2010
Last updated 05/23/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # Q4197
  • TX Medicaid 349081501
  • TX Medicaid 349081502
  • Other P01498206 RAILROAD MEDICARE
  • Other P01498207 RAILROAD MEDICARE
  • TX Other 8FF420 BLUE CROSS BLUE SHIELD
  • TX Other 8FG397 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • CENTENNIAL MEDICAL CENTER - (Acute Care)
    12505 LEBANON ROAD
    FRISCO, TX 75035
  • LAKE POINTE MEDICAL CENTER - (Acute Care)
    6800 SCENIC DR
    ROWLETT, TX 75088
  • TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL - (Acute Care)
    3150 HORIZON ROAD
    ROCKWALL, TX 75032
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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