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NPI Code Detail

MEDICARE: DONALD W ANDRESS

MEDICARE: DONALD W ANDRESS
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry006626TX

General Provider Information

NPI Number : 1083892582
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD W ANDRESS
Provider Business Mailing Address
First Line : 594 SAWDUST RD # 319
Second Line :
City : SPRING
State : TX
Zip : 77380-2215
Country : US
Telephone Number : 281-383-9783
Fax Number :
Provider Business Practice Location Address
First Line : 6137 KIRBY DR
Second Line :
City : HOUSTON
State : TX
Zip : 77005-3148
Country : US
Telephone Number : 713-490-8880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2008
Last Update Date : 02/08/2008

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Directions to “ DONALD W ANDRESS ” Practice Location

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