MEDICARE: ANDREW A VORIES MD

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	J4590	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00276516	OTHER		RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1538186150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW A VORIES MD

Provider Business Mailing Address
First Line	:	PO BOX 961205
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76161-1205
Country	:	US
Telephone Number	:	817-740-8400
Fax Number	:	817-920-0389

Provider Business Practice Location Address
First Line	:	923 PENNSYLVANIA AVE
Second Line	:	SUITE 200
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2254
Country	:	US
Telephone Number	:	817-920-0484
Fax Number	:	817-920-0389

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/25/2013

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Directions to “ ANDREW A VORIES MD” Practice Location

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