Individual
ANDREW ELLIS LEGRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3417 U OF A WAY, TEXARKANA, AR 71854-1419
(870) 779-6000
(870) 779-6055
Mailing address
3417 U OF A WAY, TEXARKANA, AR 71854-1419
(870) 779-6000
(870) 779-6055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-18969
AR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/24/2023
Last updated
04/25/2025
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