Healthcare Provider Details

I. General information

NPI: 1598927568
Provider Name (Legal Business Name): DEBORAH CHRISTINA ANDRADO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH AGUILAR

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 10/11/2022
Certification Date: 10/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 SUNDANCE PKWY STE A1
NEW BRAUNFELS TX
78130-2771
US

IV. Provider business mailing address

919 HIDDEN RDG
IRVING TX
75038-3813
US

V. Phone/Fax

Practice location:
  • Phone: 830-625-7748
  • Fax: 830-625-2563
Mailing address:
  • Phone: 469-282-2711
  • Fax: 469-282-2609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberN9798
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberN9798
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: