NPIMap

Organization Active NPI

Andlyco, LLC

  • General Practice Physician
  • Freeport, TX
National Provider Identifier
1477935609
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ANDLYCO, LLC
Practice address
1002 Abc Ave
Suite 400
Freeport, TX 77541-3889
Phone
(979) 239-3000
Fax
(979) 239-3003
NPI assigned
Jun 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Karla R McClellan, CPA
Title
Cfo
Phone
(281) 476-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1002 Abc Ave
Suite 400
Freeport, TX 77541-3889

Mailing address

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

Other names 1

  • All American Screening & Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
All American Screening Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1002 Abc Ave
Ste 400
Freeport, TX 77541
Phone (979) 239-3000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1477935609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 CENTER ST",
            "address_2": "SUITE A",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775363598",
            "telephone_number": "281-476-4600",
            "fax_number": "281-930-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 ABC AVE",
            "address_2": "SUITE 400",
            "city": "FREEPORT",
            "state": "TX",
            "postal_code": "775413889",
            "telephone_number": "979-239-3000",
            "fax_number": "979-239-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDLYCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "281-476-4600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All American Screening & Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.