Provider Demographics
NPI:1366061681
Name:WEST, ANDREW LANGSTON (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:LANGSTON
Last Name:WEST
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2215 NASHVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1105
Mailing Address - Country:US
Mailing Address - Phone:806-725-5844
Mailing Address - Fax:806-723-6532
Practice Address - Street 1:502 N DOWDEN RD UNIT 105
Practice Address - Street 2:
Practice Address - City:WOLFFORTH
Practice Address - State:TX
Practice Address - Zip Code:79382-5515
Practice Address - Country:US
Practice Address - Phone:806-725-6885
Practice Address - Fax:806-725-6886
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXU0875207Q00000X
IL036.161780207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine