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NPI Code Detail

MEDICARE: DR. ANDREW DVORAK M.D.

MEDICARE: DR. ANDREW DVORAK 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
1207W00000XOphthalmology PhysicianQ6411TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770561714
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW DVORAK M.D.
Provider Business Mailing Address
First Line : 400 S LOOP 336 W
Second Line :
City : CONROE
State : TX
Zip : 77304-3302
Country : US
Telephone Number : 936-539-4500
Fax Number : 936-539-4050
Provider Business Practice Location Address
First Line : 400 S LOOP 336 W
Second Line :
City : CONROE
State : TX
Zip : 77304-3302
Country : US
Telephone Number : 939-539-4500
Fax Number : 936-539-4050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 01/13/2021

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Directions to “ DR. ANDREW DVORAK M.D.” Practice Location

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