Provider Demographics
NPI:1366535452
Name:LASHUS, ANDREW G (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:G
Last Name:LASHUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7557 RAMBLER RD STE 290
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-0101
Mailing Address - Country:US
Mailing Address - Phone:972-331-9700
Mailing Address - Fax:972-331-9833
Practice Address - Street 1:7557 RAMBLER RD STE 290
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0101
Practice Address - Country:US
Practice Address - Phone:972-331-9700
Practice Address - Fax:972-331-9833
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK82792080P0202X
MT290762080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1366535452Medicaid
TX105678001Medicaid
TX6049274OtherCIGNA PIN
TX124228OtherSUPERIOR PIN
TX140442852Medicaid
TX1095872OtherFIRSTHEALTH PIN
TX87Z128OtherBCBSTX IND PIN
TX00U87ZOtherBCBSTX GRP PIN
TX105678005Medicaid
1750369203OtherGRP NPI NUMBER
TX10027967OtherAMERIGROUP PIN
TX117425100OtherFIRSTCARE PIN
TX137345810Medicaid
TX1469416OtherUHC PIN
TX7186010OtherAETNA PIN
TX1469416OtherUHC PIN
TX87Z128Medicare PIN
TX10027967OtherAMERIGROUP PIN