PHILIP BLANCO ANTIPORTA MD - Medical Doctor License in Texas | # 33*****16

PHILIP BLANCO ANTIPORTA MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

N

Title

MD

First Name

PHILIP

Middle

BLANCO

Last Name

ANTIPORTA

Business Name

PHILIP BLANCO ANTIPORTA MD

Original Issue Date

09/26/2022

Effective Date

07/27/2023

Expiration Date

07/31/2026

State

TX

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

07/27/2023