Individual
ANDREW HUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(325) 658-1511
(325) 481-2165
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2165
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
J1268
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115391802
—
TX
01
—
741796484
TAX ID NO
TX
01
—
827040
AUSTIN BCBS PROVIDER NO
TX
01
—
82Z040
MEDICARE AUSTIN ID NUMBER
TX
01
—
85007X
SAN ANGELO BCBS PROV NO
TX
Enumeration date
07/25/2006
Last updated
12/18/2012
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