Individual
ANDRIA BETH CARDINALLI-STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 E DOUGLAS BLVD, TYLER, TX 75702-8307
(903) 593-1721
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M1038
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180469203
—
TX
01
—
8BC078
BCBS OF TEXAS
TX
01
—
P01222506
MEDICARE RAIL ROAD
TX
01
—
TIN PLUS 007
TRICARE
TX
Enumeration date
06/08/2006
Last updated
10/10/2014
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