Susan L Andrew
Internist - Allergy & Immunology
914 Fm 517 Rd W
Dickinson
, Texas 77539-3923
Susan L Andrew
Internist - Allergy & Immunology
914 Fm 517 Rd W
Dickinson
, Texas 77539-3923
(281) 534-1472
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Susan L Andrew
- 914 Fm 517 Rd W
- Dickinson, TX
- Zip : 77539-3923
- Fax : (281) 534-1472
- Phone : (281) 337-1512
Second Address
- Susan L Andrew
- 914 Fm 517 Rd W
- Dickinson, TX
- Zip : 77539-3923
- Fax : (281) 534-1472
- Phone : (281) 337-1512
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | H3976 | TX |
National Provider Identifier
| NPI | 1154317576 |
|---|---|
| Provider Name | Susan L Andrew |
| First Address | Dickinson, TX 77539-3923 |
| Second Address | Dickinson, TX 77539-3923 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2005 |
| Last Update Date | 05/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 081517701 | (05) | TX |
| 4500496724 | CLIA (01) | TX |
| 82G537 | BLUE CROSS (01) | TX |
| E79501 | (02) |
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.