Organization
ANDALA MEDICAL TEXAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE LUNDIN (VP PAYER RELATIONS)
(248) 921-4652
Entity
Organization
Contact information
Practice address
4600 LOCKHILL SELMA RD STE 108, SAN ANTONIO, TX 78249-2186
(210) 862-7246
Mailing address
4600 LOCKHILL SELMA RD STE 108, SAN ANTONIO, TX 78249-2186
(210) 862-7246
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
11/10/2021
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