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Individual

ANDREW W PRYCHODKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD MPH

Contact information

Practice address
800 N INDUSTRIAL BLVD, SUITE 101, EULESS, TX 76039-7400
(817) 571-9900
Mailing address
PO BOX 292456, LEWISVILLE, TX 75029
(972) 421-0431

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
254959
NY
207Q00000X
Family Medicine Physician
4301-046132
MI
207Q00000X
Family Medicine Physician
E3023
AR
207Q00000X
Family Medicine Physician
J8093
TX
207QA0401X
Addiction Medicine (Family Medicine) Physician
J8093
TX
2083A0100X
Aerospace Medicine Physician
J8093
TX
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
4301-046132
MI
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
E3023
AR
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
G66169
CA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
J8093
TX
2083X0100X
Occupational Medicine Physician
254959
NY
209800000X
Legal Medicine (M.D./D.O.) Physician
4301-046132
MI
209800000X
Legal Medicine (M.D./D.O.) Physician
E3023
AR
209800000X
Legal Medicine (M.D./D.O.) Physician
G66169
CA
209800000X
Legal Medicine (M.D./D.O.) Physician
J8093
TX

Other

Enumeration date
03/20/2007
Last updated
09/06/2012
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