Rodney Kent Van Andel
Family Doctor Family Doctor - Sports Medicine
3203 S Main St
Lindale
, Texas 75771-7727
Rodney Kent Van Andel
Family Doctor Family Doctor - Sports Medicine
3203 S Main St
Lindale
, Texas 75771-7727
(903) 593-7569
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Rodney Kent Van Andel
- Po Box 5500
- Tyler, TX
- Zip : 75712-5500
- Fax : (903) 593-7569
- Phone : (903) 324-6450
Second Address
- Rodney Kent Van Andel
- 3203 S Main St
- Lindale, TX
- Zip : 75771-7727
- Fax : (903) 882-7751
- Phone : (903) 266-4000
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FAQs
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Is Rodney Kent Van Andel a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | L7909 | TX |
| N | 207QS0010X | Family Doctor - Sports Medicine | L7909 | TX |
National Provider Identifier
| NPI | 1154326544 |
|---|---|
| Provider Name | Rodney Kent Van Andel |
| First Address | Tyler, TX 75712-5500 |
| Second Address | Lindale, TX 75771-7727 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2005 |
| Last Update Date | 14/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 129375 | CHIPS (01) | TX |
| 138771100 | FIRSTCARE SOUTHWEST (01) | TX |
| 166412001 | (05) | TX |
| 166412003 | (05) | TX |
| 8K1901 | TEXAS BCBS (01) | TX |
| 8V5495 | BCBS (01) | TX |
| I04869 | (02) | TX |
| P00165779 | RAILROAD MEDICARE (01) | TX |
| PP10013213 | TEXAS WORKERS COMP (01) | TX |
| TIN PLUS 001 | TRICARE CANTON LOCATION (01) | TX |
| TIN PLUS 002 | TRICARE LAKE PALESTINE LOCATION (01) | TX |
| TIN PLUS 028 | TRICARE (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.