MEDICARE: RICHARD CHARLES ANDREWS DO

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	207Q00000X	Family Medicine Physician	F7388	TX
2	207R00000X	Internal Medicine Physician	F7388	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	GL30	OTHER	TX	BCBS
2	10018706	OTHER	TX	AMERIGROUP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	3302	OTHER	TX	PARKLAND
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235195728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD CHARLES ANDREWS DO

Provider Business Mailing Address
First Line	:	4373 S HAMPTON RD
Second Line	:	STE 1
City	:	DALLAS
State	:	TX
Zip	:	75232-1058
Country	:	US
Telephone Number	:	214-339-9359
Fax Number	:	214-339-7326

Provider Business Practice Location Address
First Line	:	4373 S HAMPTON RD
Second Line	:	STE 1
City	:	DALLAS
State	:	TX
Zip	:	75232-1058
Country	:	US
Telephone Number	:	214-339-9359
Fax Number	:	214-339-7326

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

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	10/27/2015

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Directions to “ RICHARD CHARLES ANDREWS DO” Practice Location

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