Patricio Manuel Andres, M.D.

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

MD0034967 Issued in MD

Practice address

4501 Summerhill Rd
Apt. # 231
Texarkana, TX 75503-4422

Phone

(903) 334-2155

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306933007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "U.S. ARMY OCCUPATIONAL HEALTH CLINIC",
            "address_2": "RED RIVER ARMY DEPOT",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755075000",
            "telephone_number": "903-334-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 SUMMERHILL RD",
            "address_2": "APT. # 231",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034422",
            "telephone_number": "903-334-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRES",
        "first_name": "PATRICIO",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "MD",
            "license": "MD0034967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Osei Amoasi
• Gregg D Anderson, CRNA
• Kurt Michael Anderson, D.D.S., M.S.
• Mikala Brooke Anderson, DO
• Neeley Anderson
• Andrew S. Curry, D.D.S., Inc
• Anesthesia and Intensive Care
• Anesthesiology Associates of Texarkana PA
• Anew Case Management Group
• Greggory N. Angier, MD

• All providers in Texarkana, TX
• Military Health Care Provider in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.