Joe T Andrews Jr., LVN
Individual provider Active NPI Licensed Vocational Nurse · Mission, TX
NPI 1497308696 · NPPES record last updated Apr 8, 2020
Key facts
- NPI
- 1497308696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 342744 (TX)
- Practice address
- 614 Stacie LN
Mission, TX 78574-2747 - Phone
- (210) 817-0209
- NPI assigned
- Jul 17, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 342744 | TX | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Cruz Health Services, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 342744 | TX | Yes |
Addresses
Primary practice location
614 Stacie LN
Mission, TX 78574-2747
Mailing address
614 Stacie LN
Mission, TX 78574-2747
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790847531 | Medicaid | TX |
Other providers in Mission, TX
- Addievi T Amper
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- Meagan Murphy Anderson
- Andres Alvarez
- Angel de la Guardia
- Angeles Adult Day Care, LLC
- Angelito'S Hospice
- Angelitos Adult Dar Care Center,Inc.
- Angelitos DME LLC.
All providers in Mission, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.