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Individual

MICHAEL A. ANDREO

Active
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Individual

MICHAEL A. ANDREO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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