Individual
ANDREW KOVOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4708 ALLIANCE BLVD STE 150, PLANO, TX 75093
(972) 596-7801
(972) 596-9307
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
R5884
TX
390200000X
Student in an Organized Health Care Education/Training Program
R73264
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384656001
—
TX
05
—
384656002
—
TX
Enumeration date
06/24/2012
Last updated
09/17/2021
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