Individual
STEVEN EARL FANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
630 N COIT RD, SUITE 2200, RICHARDSON, TX 75080-3700
(214) 389-7431
Mailing address
1322 LAKERIDGE LN, IRVING, TX 75063-5079
(214) 850-5377
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00241
TX
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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