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NPI Code Detail

MEDICARE: DR. DAVID WAYNE ANDRES M.D.

MEDICARE: DR. DAVID WAYNE ANDRES 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
1207L00000XAnesthesiology PhysicianK9215TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194797241
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID WAYNE ANDRES M.D.
Provider Business Mailing Address
First Line : 907 EUREKA ST STE B
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-5880
Country : US
Telephone Number : 817-598-8150
Fax Number : 817-599-4902
Provider Business Practice Location Address
First Line : 713 E ANDERSON ST
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-5705
Country : US
Telephone Number : 817-598-8150
Fax Number : 817-599-4902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 11/25/2019

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Directions to “ DR. DAVID WAYNE ANDRES M.D.” Practice Location

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