MEDICARE: MS. ANDREA MICHELLE TELLISON CEO

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
1	171WH0202X	Home Modifications Contractor	0065196	TX

General Provider Information

NPI Number	:	1043284847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANDREA MICHELLE TELLISON CEO

Provider Business Mailing Address
First Line	:	4415 WAVERTREE DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2949
Country	:	US
Telephone Number	:	281-499-8503
Fax Number	:	281-403-1421

Provider Business Practice Location Address
First Line	:	4415 WAVERTREE DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2949
Country	:	US
Telephone Number	:	281-499-8503
Fax Number	:	281-403-1421

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	07/09/2007

Similar Medicare Providers

1497756373 — UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES, LLC
Practice Location Address:

2949 SIERRA CT SW
IOWA CITY, IA
52240-8503

Practice Phone: 319-337-8522
Practice Fax: 319-337-8524

1134163421 — GADE S RAO MD PA
Practice Location Address:

2949 HIGHWAY 77 , BAY MEDICAL PLAZA
PANAMA CITY, FL
32405-4411

Practice Phone: 850-248-2656
Practice Fax: 850-248-2658

1780698167 — LILY W GONZALEZ M.D.
Practice Location Address:

359 GROVE ST
JERSEY CITY, NJ
07302-2949

Practice Phone: 201-432-8717
Practice Fax: 201-946-0390

1881799666 — UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES, LLC
Practice Location Address:

2949 SIERRA CT SW
IOWA CITY, IA
52240-8503

Practice Phone: 319-337-8522
Practice Fax: 319-337-8524

1922293497 — JOSHUA DAVID LEPORE
Practice Location Address:

103 PROVIDENCE MINE RD STE 101
NEVADA CITY, CA
95959-2949

Practice Phone: 530-292-3478
Practice Fax: 530-292-4296

1487985321 — DR. SHANE THOMAS SEDENKA PHARM.D
Practice Location Address:

2949 SIERRA CT SW
IOWA CITY, IA
52240-8503

Practice Phone: 319-688-6951
Practice Fax:

Directions to “ MS. ANDREA MICHELLE TELLISON CEO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.