Individual
ANDREA M MCNIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
18955 N MEMORIAL DR STE 240, HUMBLE, TX 77338-4271
(936) 441-1010
Mailing address
25511 BUDDE RD STE 2502, THE WOODLANDS, TX 77380-2388
(936) 441-1010
(866) 475-9062
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA04340
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182844401
—
TX
Enumeration date
05/19/2006
Last updated
04/29/2019
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