Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Philip Blanco Antiporta, MD

Individual provider Infectious Disease Physician · NPI 1104139732

Dr. Philip Blanco Antiporta, MD is an Infectious Disease in Fort Worth, Texas. Qualified in 2007, 19 years ago. Practices with Infectious Disease Doctors, PA, a 17-clinician group and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
19
Licensed in
IL, TX
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1325 Pennsylvania Ave Ste 350
Fort Worth, TX 76104-2172
Phone: (817) 887-9389
Fax: (817) 887-9392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence R8147 (TX)
Infectious Disease Physician Taxonomy 207RI0200X · Licence 036.133199 (IL)

Record details

NPI number1104139732
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 25, 2010
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINFECTIOUS DISEASE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Infectious Disease Doctors, Pa — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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