Individual
ANDREW J. MCDAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 S W S YOUNG DR STE 201, KILLEEN, TX 76542-3340
(254) 245-9175
(254) 213-7771
Mailing address
PO BOX 11538, KILLEEN, TX 76547-1538
(254) 245-9177
(254) 245-9178
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G8270
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
G8270
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
G8270
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101088605
—
TX
01
—
P01453818
RR MEDICARE
TX
01
—
TXB166223
MEDICARE PTAN
TX
Enumeration date
03/29/2006
Last updated
07/21/2022
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