Individual
RODNEY KENT VAN ANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3203 S MAIN ST, LINDALE, TX 75771-7727
(903) 266-4000
(903) 882-7751
Mailing address
PO BOX 5500, TYLER, TX 75712-5500
(903) 324-6450
(903) 593-7569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L7909
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
L7909
TX
208D00000X
General Practice Physician
Primary
L7909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129375
CHIPS
TX
01
—
138771100
FIRSTCARE SOUTHWEST
TX
05
—
166412001
—
TX
05
—
166412003
—
TX
01
—
8K1901
TEXAS BCBS
TX
01
—
8V5495
BCBS
TX
01
—
P00165779
RAILROAD MEDICARE
TX
01
—
PP10013213
TEXAS WORKERS COMP
TX
01
—
TIN PLUS 001
TRICARE CANTON LOCATION
TX
01
—
TIN PLUS 002
TRICARE LAKE PALESTINE LOCATION
TX
01
—
TIN PLUS 028
TRICARE
TX
Enumeration date
06/14/2005
Last updated
04/09/2026
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