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NPI Code Detail

MEDICARE: MRS. ANDREA B. HIRSCH NP

MEDICARE: MRS. ANDREA B. HIRSCH NP
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
1363L00000XNurse PractitionerAP119372TX
2363LF0000XFamily Nurse Practitioner789120TX
3363LF0000XFamily Nurse Practitioner53-45901-061KS

General Provider Information

NPI Number : 1013249887
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANDREA B. HIRSCH NP
Provider Business Mailing Address
First Line : 5506 100TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79424-6266
Country : US
Telephone Number : 816-560-5573
Fax Number :
Provider Business Practice Location Address
First Line : 5219 CITY BANK PKWY
Second Line : #160
City : LUBBOCK
State : TX
Zip : 79407-3544
Country : US
Telephone Number : 806-761-0333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2010
Last Update Date : 12/02/2021

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