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Individual

ANDREW LEE WALSH III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1301 WONDER WORLD DR, SAN MARCOS, TX 78666-7533
(210) 600-2862
Mailing address
PO BOX 128, BELLAIRE, TX 77402-0128
(210) 600-2862
(281) 833-3323

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
H4777
TX
207RP1001X
Pulmonary Disease Physician
Primary
H4777
TX
207RP1001X
Pulmonary Disease Physician
R3L22
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134141405
TX
05
134141408
TX
01
2UE715
BCBS RECORD ID
TX
Enumeration date
06/15/2006
Last updated
10/11/2024
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