MEDICARE: ANDREEA SIMONA XAVIER 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
1	207R00000X	Internal Medicine Physician	0101244083	VA
2	208M00000X	Hospitalist Physician	0101244083	VA

Other Identifiers

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

General Provider Information

NPI Number	:	1679682223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREEA SIMONA XAVIER M.D.

Provider Business Mailing Address
First Line	:	6431 FANNIN JJL 270A
Second Line	:	JJL 270A
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	713-704-9389
Fax Number	:	434-982-7752

Provider Business Practice Location Address
First Line	:	6431 FANNIN JJL 270A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-7703
Country	:	US
Telephone Number	:	585-322-5736
Fax Number	:	434-982-7581

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	11/30/2021

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