Individual
JOE T ANDREWS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
614 STACIE LN, MISSION, TX 78574-2747
(210) 817-0209
Mailing address
614 STACIE LN, MISSION, TX 78574-2747
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
342744
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
07/17/2019
Last updated
04/08/2020
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