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Individual

ANDREW L CLAVENNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9301 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75231-0806
(214) 220-2468
(214) 397-1555
Mailing address
9301 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75231-0806
(214) 220-2468
(214) 397-1555

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A92206
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
L7336
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BLUE CROSS BLUE SHIE
8X7913
TX
01
MEDICARE RAILROAD
P00379500
TX
Enumeration date
08/11/2006
Last updated
04/22/2025
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