Individual
JOHN L ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 MEDIPARK, STE 2050, AMARILLO, TX 79106
(806) 355-3352
Mailing address
PO BOX 3780, AMARILLO, TX 79116-3780
(806) 355-3352
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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