Individual
ANDREA LEE YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 COLLEGE DR, TEXARKANA, TX 75503-3536
(903) 791-1110
(903) 791-9353
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2079
AR
207Q00000X
Family Medicine Physician
K9940
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K9940
LICENSE
TX
Enumeration date
07/07/2005
Last updated
07/07/2022
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