Individual
DR. CHARLEY JULIUS ANDREWS III III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
556 W BEDFORD EULESS RD, SUITE C, HURST, TX 76053-3924
(817) 283-4688
(817) 540-0736
Mailing address
556 W BEDFORD EULESS RD, SUITE C, HURST, TX 76053-3924
(817) 283-4688
(817) 540-0736
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E9512
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4077259
AETNA
TX
Enumeration date
09/20/2005
Last updated
09/05/2013
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