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NPI Code Detail

MEDICARE: ANDREW MICHAEL PSYK M.D.

MEDICARE: ANDREW MICHAEL PSYK M.D.
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
1207P00000XEmergency Medicine PhysicianL1171TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00128364OTHERTXRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
28P8495OTHERTXBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053303792
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW MICHAEL PSYK M.D.
Provider Business Mailing Address
First Line : 1622 HILL SPRING DR
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479
Country : US
Telephone Number : 281-545-9598
Fax Number : 281-494-7399
Provider Business Practice Location Address
First Line : 16655 SOUTHWEST FWY
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2329
Country : US
Telephone Number : 281-274-7117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 09/30/2013

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