Healthcare Provider Details

I. General information

NPI: 1700741238
Provider Name (Legal Business Name): BIANCA ADRIANA SANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 W MITCHELL ST
ARLINGTON TX
76013-2330
US

IV. Provider business mailing address

1130 SILVERWOOD DR APT 208
ARLINGTON TX
76006-7005
US

V. Phone/Fax

Practice location:
  • Phone: 915-731-2372
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT10285
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: