Individual
ANDREW E ANYADIEGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 WALLS DR, SUITE 208, CLEBURNE, TX 76033-7022
(817) 641-0808
Mailing address
203 WALLS DR, SUITE 208, CLEBURNE, TX 76033-7022
(817) 641-0808
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD 426941
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD426941
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101434984
—
PA
Enumeration date
07/07/2006
Last updated
05/18/2012
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