Individual
ANDREW BANCAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
5207 HAZEL VISTA LN, RICHMOND, TX 77469-5397
(786) 382-9042
Mailing address
5207 HAZEL VISTA LN, RICHMOND, TX 77469-5397
(786) 382-9042
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
25-256
TX
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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