Provider Demographics
NPI:1912860222
Name:ANDREWS, ANTHONY (MED)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20106 RUSTLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-1939
Mailing Address - Country:US
Mailing Address - Phone:682-706-9534
Mailing Address - Fax:
Practice Address - Street 1:20106 RUSTLEWOOD DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-1939
Practice Address - Country:US
Practice Address - Phone:682-706-9534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1490657174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist