Individual
JOHN L ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F9138
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100145800A
—
OK
01
—
107565100
FIRSTCARE
—
05
—
136013302
—
TX
01
—
82R440
BLUE CROSS OF TEXAS
TX
01
—
MDF9138
TEXAS WORKERS COMPENSATIO
TX
05
—
U4753
—
NM
Enumeration date
04/04/2006
Last updated
06/23/2008
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