Andlyco, LLC

Organization Active NPI General Practice Physician · Sweeny, TX

NPI 1386026516 · NPPES record last updated Jun 30, 2015

Key facts

NPI
1386026516
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
ANDLYCO, LLC
Practice address
9098 CR 360
Sweeny, TX 77480
Phone
(979) 548-4190
Fax
(979) 548-4190
NPI assigned
Jun 24, 2015
Organization subpart
No

Authorized official

Name
Karla McClellan
Title
Cfo
Phone
(281) 476-4600

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
All American Screening Medical (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X Yes

Addresses

Primary practice location

9098 CR 360
Sweeny, TX 77480

Mailing address

1803 Center St
Suite a
Deer Park, TX 77536-3598
Phone (281) 476-4600

Other names

  • All American Screening & Medical Doing business as

Other providers in Sweeny, TX

All providers in Sweeny, TX · General Practice Physician in Texas

Sources for this page

Verify at the official NPI Registry.