Individual
ANDREW L DEJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1730 BIRMINGHAM DR, COLLEGE STATION, TX 77845-4063
(979) 693-6000
(979) 693-1900
Mailing address
PO BOX 10194, COLLEGE STATION, TX 77842-0194
(979) 693-6000
(979) 693-1900
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
J1079
TX
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
J1079
TX
207YX0602X
Otolaryngic Allergy Physician
J1079
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135825109
—
TX
01
—
80102845
DPS
TX
Enumeration date
06/02/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us