Individual
ANDREI C GASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-7800
Mailing address
PO BOX 130549, TYLER, TX 75713-0549
(903) 579-3931
(903) 509-5835
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
H2396
TX
207RG0100X
Gastroenterology Physician
126887
MT
207RG0100X
Gastroenterology Physician
H2396
TX
207RG0100X
Gastroenterology Physician
Primary
MD2021-0949
NM
207RG0100X
Gastroenterology Physician
MD219009
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H2396
LICENSE
TX
01
—
MD2021-0949
STATE LICENSE
NM
Enumeration date
07/19/2005
Last updated
10/09/2025
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