Individual
MICHAEL A. ANDREO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 W. 38TH ST. # 102, AUSTIN, TX 78705-1010
(512) 454-4561
(512) 467-2906
Mailing address
6210 E HIGHWAY 290, AUSTIN, TX 78723-1142
(512) 483-9596
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J1841
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
J1841
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
J1841
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094771502
—
TX
05
—
132113507
—
TX
01
—
200024980
PALMETTO GBA RAILROAD MED
TX
01
—
5237204
AETNA TRS
TX
01
—
817426
BCBS
TX
01
—
85264
SCOTT & WHITE
TX
Enumeration date
07/03/2006
Last updated
05/28/2021
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