Organization
CHARLEY J ANDREWS III MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLEY JULIUS ANDREWS III M.D. (PRESIDENT)
(817) 283-4688
Entity
Organization
Contact information
Practice address
556 W BEDFORD EULESS RD, SUITE C, HURST, TX 76053-3924
(817) 283-4688
Mailing address
PO BOX 211743, BEDFORD, TX 76095-8743
(817) 283-4688
(817) 540-0736
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E9512
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4077259
AETNA
TX
Enumeration date
10/28/2007
Last updated
02/29/2012
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