Individual
DR. ANDREA LOUISE PANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2012 ROBERT DEDMAN DRIVE, MNC 1.218, AUSTIN, TX 78712
(512) 471-5513
Mailing address
360 NUECES ST, #1105, AUSTIN, TX 78701-4195
(512) 203-8940
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
G74916
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
M1285
TX
Other
Enumeration date
04/18/2007
Last updated
09/01/2011
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