Individual
ANDREW VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
39769 LYNDON B JOHNSON FWY, DALLAS, TX 75237-3560
(972) 780-0802
Mailing address
2960 N CAMINO LAGOS, GRAND PRAIRIE, TX 75054-6720
(432) 770-1555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1191898
TX
Other
Enumeration date
01/11/2025
Last updated
03/04/2025
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