Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | J1842 | TX |
NPI | 1003890203 |
---|---|
Provider Name | James Todd Andrews |
First Address | Houston, TX 77216-1157 |
Second Address | Humble, TX 77339-4440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2005 |
Last Update Date | 04/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
116957501 | (05) | TX |
F57875 | (02) | TX |