Individual
DR. ALFREDO R ANDAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1311 GENERAL CAVAZOS BLVD, SUITE 301, KINGSVILLE, TX 78363
(361) 595-5526
(361) 595-1050
Mailing address
1311 GENERAL CAVAZOS BLVD, SUITE 301, KINGSVILLE, TX 78363-7129
(361) 595-5526
(361) 595-1050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J4694
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126915102
—
TX
05
—
126915106
—
TX
01
—
742085274
TAXPAYER IDENTIFICATION
TX
Enumeration date
07/20/2006
Last updated
08/23/2018
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