Individual
ANDREW TKACIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13333 NORTHWEST FWY STE 540, HOUSTON, TX 77040-6166
(424) 290-8004
Mailing address
13333 NORTHWEST FWY STE 540, HOUSTON, TX 77040-6166
(414) 290-8004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8815
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2021
Last updated
01/14/2022
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