Individual
ANDREW DELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8080 E CENTRAL AVE, SUITE 250, WICHITA, KS 67206-2368
(316) 686-7327
(316) 686-1557
Mailing address
5818 COVEY LN, TYLER, TX 75703-4501
(615) 891-8407
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
AP128139
TX
367500000X
Certified Registered Nurse Anesthetist
557317
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
AP128139
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351031501
—
TX
01
—
75-0818167-015
TRICARE
TX
01
—
P01536077
RAIL ROAD
TX
Enumeration date
02/06/2015
Last updated
10/11/2022
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