Individual
ANDREW LAWRENCE WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 W SUNSET RD, SAN ANTONIO, TX 78209-2651
(210) 293-2663
(210) 293-2719
Mailing address
250 W SUNSET RD, SAN ANTONIO, TX 78209-2651
(210) 293-2663
(210) 293-2719
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L5613
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157921104
—
TX
05
—
157921106
—
TX
01
—
6509510001
MEDICARE DME PTAN
TX
01
—
TXB103513
MEDICARE GROUP PTAN
TX
Enumeration date
08/29/2006
Last updated
08/17/2023
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