Individual
ANDRAE LAVON VANDROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12221 RENFERT WAY, SUITE 120 AND 300, AUSTIN, TX 78758
(512) 873-8900
(512) 834-8676
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
A131869
CA
207RX0202X
Medical Oncology Physician
Primary
S4894
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408903901
—
TX
05
—
408933602
—
TX
Enumeration date
04/19/2009
Last updated
05/07/2020
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