| Andala Medical Texas Pa | |
|
12727 Kimberley Ln Ste 302 Houston TX 77024-4053 | |
| (210) 862-7246 | |
| Not Available |
| Full Name | Andala Medical Texas Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 12727 Kimberley Ln Ste 302, Houston, Texas |
| Authorized Official Name and Position | Jackie Lundin (VP PAYER RELATIONS) |
| Authorized Official Contact | 2489214652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andala Medical Texas Pa 4600 Lockhill Selma Rd San Antonio TX 78249-2185 Ph: () - | Andala Medical Texas Pa 12727 Kimberley Ln Ste 302 Houston TX 77024-4053 Ph: (210) 862-7246 |
| NPI Number | 1104499268 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 11/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104499268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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