Dejong, Andrew L

Dejong, Andrew L is an individual health care provider with primary practice located at 1730 Birmingham Dr , College Station TX 77845-4063. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Dejong, Andrew L can be contacted via phone (979) 693-6000.

Contact Information

Primary practice address
1730 Birmingham Dr College Station TX 77845-4063
Phone: (979) 693-6000
Fax: (979) 693-1900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X J1079 Texas
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X J1079 Texas
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X J1079 Texas

Profile Details

NPI number 1750328092
LBN Legal business name Dejong, Andrew L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 7th, 2023 - about 2 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 1750328092 NPPES
Texas MEDICAID 135825109
Texas Other 80102845

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