Healthcare Provider Details

I. General information

NPI: 1497619191
Provider Name (Legal Business Name): SUMMER LEIGH ANDREWS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3055 NE LOOP 286
PARIS TX
75460-3433
US

IV. Provider business mailing address

302 COUNTY ROAD 43830
PARIS TX
75462-1752
US

V. Phone/Fax

Practice location:
  • Phone: 903-737-1111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: