Individual
ANDREW GARRISON BAXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75235
(469) 236-6133
Mailing address
4417 ECHO GLEN DR, DALLAS, TX 75244-7424
(469) 236-6133
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/11/2020
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