Individual
ANDREW H KILGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 W NORTHWEST HWY, STE 900, GRAPEVINE, TX 76051-8112
(817) 488-7573
(817) 488-5096
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G4326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U87Z
BCBSTX GRP PIN
TX
01
—
116765100
FIRSTCARE PIN
TX
01
—
138216
PHCS PIN
TX
05
—
140442888
—
TX
05
—
140442891
—
TX
05
—
151816901
—
TX
01
—
1750369203
GRP NPI NUMBER
—
01
—
2131717
CIGNA PIN
TX
01
—
303413
UHC PIN
TX
01
—
4019422
AETNA PIN
TX
01
—
73652
FIRSTHEALTH PIN
TX
01
—
87Y240
BCBSTX IND PIN
TX
01
—
KILAB23950
CCHIP PIN
TX
Enumeration date
10/19/2006
Last updated
05/04/2010
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