# RODNEY KENT VAN ANDEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154326544
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | L7909 | TX | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | L7909 | TX | — |
| 208D00000X | General Practice Physician | L7909 | TX | Yes |

## Other

- **Enumeration date:** 06/14/2005
- **Last updated:** 04/09/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 129375 | CHIPS | TX |
| 01 | — | 138771100 | FIRSTCARE SOUTHWEST | TX |
| 05 | — | 166412001 | — | TX |
| 05 | — | 166412003 | — | TX |
| 01 | — | 8K1901 | TEXAS BCBS | TX |
| 01 | — | 8V5495 | BCBS | TX |
| 01 | — | P00165779 | RAILROAD MEDICARE | TX |
| 01 | — | PP10013213 | TEXAS WORKERS COMP | TX |
| 01 | — | TIN PLUS 001 | TRICARE CANTON LOCATION | TX |
| 01 | — | TIN PLUS 002 | TRICARE LAKE PALESTINE LOCATION | TX |
| 01 | — | TIN PLUS 028 | TRICARE | TX |