Individual
DR. JAVIER ENRIQUE ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP1-0027563
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4623933177
MYUTMB 4623933177-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
09/18/2014
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