MEDICARE: ANDREW SENCHAK D.O.

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	207Y00000X	Otolaryngology Physician	Q8348	TX

General Provider Information

NPI Number	:	1295754497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW SENCHAK D.O.

Provider Business Mailing Address
First Line	:	101 BOURLAND RD STE D
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-3507
Country	:	US
Telephone Number	:	833-818-8383
Fax Number	:	817-889-8134

Provider Business Practice Location Address
First Line	:	101 BOURLAND RD STE D
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-3507
Country	:	US
Telephone Number	:	833-818-8383
Fax Number	:	817-889-8134

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	02/10/2026

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