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Contact Information

ANGEL I BLANCO, MD
7121 S PADRE ISLAND DR
SUITE 102-101,119
CORPUS CHRISTI, TX78412-4938
 Phone: 361-696-6000
 Fax: 361-992-4120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for ANGEL I BLANCO · (Male)

NPI Number 1447240593
Status Active
Credentials MD
Entity Individual
Enumeration date 10/28/2005
Last updated 03/26/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • TX License # M1026
  • TX Medicaid 166102702
  • TX Medicaid 166102703
  • TX Other 1447240593 BLUE CROSS BLUE SHIELD
  • TX Other 166102704 CSHCN (MEDICAID)
  • TX Other P00859678 MEDICARE RAILROAD
Hospital affiliation(s)
  • MEMORIAL HERMANN HOSPITAL SYSTEM - (Acute Care)
    1635 NORTH LOOP WEST
    HOUSTON, TX 77008
  • MEMORIAL HERMANN NORTHEAST - (Acute Care)
    18951 MEMORIAL NORTH
    HUMBLE, TX 77338
  • MEMORIAL HERMANN TEXAS MEDICAL CENTER - (Acute Care)
    6411 FANNIN
    HOUSTON, TX 77030
  • UNIVERSITY OF TEXAS M D ANDERSON CANCER CENTER,THE - (Acute Care)
    1515 HOLCOMBE BLVD
    HOUSTON, TX 77030
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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