Individual
DR. KELLOUS ANDREW PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1730 BIRMINGHAM DR, COLLEGE STATION, TX 77845-4063
(979) 693-6000
(979) 693-1900
Mailing address
PO BOX 10194, COLLEGE STATION, TX 77842-0194
(979) 693-6000
(979) 693-1900
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L7525
TX
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
L7525
TX
207YX0602X
Otolaryngic Allergy Physician
L7525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160418301
—
TX
Enumeration date
07/11/2005
Last updated
09/16/2011
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