Provider Demographics
NPI:1215115738
Name:ANDREWS, THOMAS MARK (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MARK
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 S 13TH ST
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:NM
Mailing Address - Zip Code:88210-2670
Mailing Address - Country:US
Mailing Address - Phone:575-746-6375
Mailing Address - Fax:575-746-6799
Practice Address - Street 1:1108 S 13TH ST
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:NM
Practice Address - Zip Code:88210-2670
Practice Address - Country:US
Practice Address - Phone:575-746-6375
Practice Address - Fax:575-746-6375
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3961111N00000X
NM2061111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM12536056OtherCAQH