Andrus, Carol Ann
Andrus, Carol Ann is an individual health care provider with primary practice located at 1016 N Virginia St , Port Lavaca TX 77979-3000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Andrus, Carol Ann can be contacted via phone (361) 552-0325.Contact Information
Primary practice address
1016 N Virginia St
Port Lavaca TX 77979-3000
Phone: (361) 552-0325
Fax: (361) 552-5926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | TXK0057 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | K0057 | Texas |
Profile Details
| NPI number | 1629090899 |
|---|---|
| LBN Legal business name | Andrus, Carol Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Oct 10th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629090899 | NPPES |
| Texas | Other | K0057 | STATE BOARD OF MEDICINE |
| Texas | MEDICAID | 173721501 | STATE BOARD OF MEDICINE |
| Texas | Other | 30095257 | STATE BOARD OF MEDICINE |
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