Healthcare Provider Details

I. General information

NPI: 1447406145
Provider Name (Legal Business Name): JAMES M ANDRY MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2008
Last Update Date: 06/30/2024
Certification Date: 06/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5290 MEDICAL DR
SAN ANTONIO TX
78229-4849
US

IV. Provider business mailing address

5290 MEDICAL DR
SAN ANTONIO TX
78229-4849
US

V. Phone/Fax

Practice location:
  • Phone: 210-614-6000
  • Fax: 210-614-7728
Mailing address:
  • Phone: 210-614-6000
  • Fax: 210-614-7728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES MICHAEL ANDRY SR.
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 210-614-6000