Individual
ANDREW WILLIAM EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 715-5000
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1566
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344586801
—
TX
01
—
P01326796
RR MEDICARE
TX
Enumeration date
08/29/2013
Last updated
02/29/2024
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