Healthcare Provider Details

I. General information

NPI: 1053592535
Provider Name (Legal Business Name): ANDREA MCGUIRE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDREA MCGUIRE-GROVNER PAC

II. Dates (important events)

Enumeration Date: 11/26/2007
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16018 W HIGHWAY 71 PASS
BEE CAVE TX
78738-7115
US

IV. Provider business mailing address

PO BOX 844658
DALLAS TX
75284-4658
US

V. Phone/Fax

Practice location:
  • Phone: 512-654-3900
  • Fax:
Mailing address:
  • Phone: 800-994-0371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA02708
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: