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Individual

CHARLES P ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4410 MEDICAL DR, SUITE 320, SAN ANTONIO, TX 78229-6306
(210) 614-2100
(210) 692-1999
Mailing address
4410 MEDICAL DR, SUITE 320, SAN ANTONIO, TX 78229-6306
(210) 614-2100
(210) 692-1999

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
E4177
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110202201
TX
05
110202205
TX
05
7422225337822902
IL
01
827083104
RAILROAD MEDICARE
TX
01
8AW547
BLUE CROSS
TX
Enumeration date
07/05/2005
Last updated
01/22/2014
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