Van Andel, Rodney Kent

Van Andel, Rodney Kent is an individual health care provider with primary practice located at 3203 S Main St , Lindale TX 75771-7727. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Van Andel, Rodney Kent can be contacted via phone (903) 266-4000.

Contact Information

Primary practice address
3203 S Main St Lindale TX 75771-7727
Phone: (903) 266-4000
Fax: (903) 882-7751
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L7909 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X L7909 Texas

Profile Details

NPI number 1154326544
LBN Legal business name Van Andel, Rodney Kent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated May 14th, 2014 - about 11 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 1154326544 NPPES
Texas Other 138771100 FIRSTCARE SOUTHWEST
Texas Other P00165779 FIRSTCARE SOUTHWEST
Texas MEDICAID 166412003 FIRSTCARE SOUTHWEST
Texas Other 8K1901 FIRSTCARE SOUTHWEST
Texas Other TIN PLUS 001 FIRSTCARE SOUTHWEST
Texas Other TIN PLUS 002 FIRSTCARE SOUTHWEST
Texas Other TIN PLUS 028 FIRSTCARE SOUTHWEST
Texas Other PP10013213 FIRSTCARE SOUTHWEST
Texas Other 129375 FIRSTCARE SOUTHWEST
Texas Other 8V5495 FIRSTCARE SOUTHWEST
Texas MEDICAID 166412001 FIRSTCARE SOUTHWEST

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