Organization
ANDALA MEDICAL TEXAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE LUNDIN (VP PAYER RELATIONS)
(248) 921-4652
Entity
Organization
Contact information
Practice address
12727 KIMBERLEY LN STE 302, HOUSTON, TX 77024-4053
(210) 862-7246
Mailing address
4600 LOCKHILL SELMA RD, SAN ANTONIO, TX 78249-2185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
11/10/2021
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