Individual
SUSAN L ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
914 FM 517 RD W, DICKINSON, TX 77539-3923
(281) 910-1982
(826) 888-6069
Mailing address
3921 RAU DR, DICKINSON, TX 77539-6120
(281) 910-1982
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
H3976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081517701
—
TX
01
—
4500496724
CLIA
TX
01
—
82G537
BLUE CROSS
TX
Enumeration date
09/21/2005
Last updated
04/17/2025
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