Andaya, Alfredo R

Andaya, Alfredo R is an sole proprietor health care provider with primary practice located at 1311 General Cavazos Blvd Suite 301, Kingsville TX 78363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Andaya, Alfredo R can be contacted via phone (361) 595-5526.

Contact Information

Primary practice address
1311 General Cavazos Blvd Suite 301 Kingsville TX 78363
Phone: (361) 595-5526
Fax: (361) 595-1050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X J4694 Texas

Profile Details

NPI number 1578583001
LBN Legal business name Andaya, Alfredo R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Aug 23rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578583001 NPPES
Texas Other 742085274 TAXPAYER IDENTIFICATION
Texas MEDICAID 126915106 TAXPAYER IDENTIFICATION
Texas MEDICAID 126915102 TAXPAYER IDENTIFICATION

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