Individual
ANDREW LAVEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4055 INTERNATIONAL PLZ STE 660, FT WORTH, TX 76109-4874
(817) 592-8427
Mailing address
4055 INTERNATIONAL PLZ STE 660, FT WORTH, TX 76109-4874
(817) 592-8427
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
PA11964
TX
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
03/21/2018
Last updated
02/20/2023
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