MEDICARE: CHARLES P ANDREWS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	E4177	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	827083104	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8AW547	OTHER	TX	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467459578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES P ANDREWS M.D.

Provider Business Mailing Address
First Line	:	4410 MEDICAL DR
Second Line	:	SUITE 320
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-6306
Country	:	US
Telephone Number	:	210-614-2100
Fax Number	:	210-692-1999

Provider Business Practice Location Address
First Line	:	4410 MEDICAL DR
Second Line	:	SUITE 320
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-6306
Country	:	US
Telephone Number	:	210-614-2100
Fax Number	:	210-692-1999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	01/22/2014

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Directions to “ CHARLES P ANDREWS M.D.” Practice Location

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