Individual
ANDREW N DENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5423 S MCCOLL RD, EDINBURG, TX 78539-9183
(956) 362-3575
(956) 362-3584
Mailing address
5423 S MCCOLL RD, EDINBURG, TX 78539-9183
(956) 362-3575
(956) 362-3584
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L4331
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
19565
MS
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
29405
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477283-05
—
TX
01
—
H08HM98801
BCBS
TX
Enumeration date
06/09/2005
Last updated
09/30/2021
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