Andrews 2012 PLLC

Organization Active NPI General Practice Dentistry · Andrews, TX

NPI 1780930511 · NPPES record last updated Jul 30, 2012

Key facts

NPI
1780930511
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ANDREWS 2012 PLLC
Practice address
711 Hospital Dr
Andrews, TX 79714-3616
Phone
(888) 988-4066
Fax
(847) 496-7603
NPI assigned
Jul 30, 2012
Organization subpart
No

Authorized official

Name
Dr. Koushan Azad, DMD
Title
President
Phone
(888) 988-4066

National Provider Directory

Locations

711 Hospital Dr
Andrews, TX 79714
Phone (432) 523-3194

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

711 Hospital Dr
Andrews, TX 79714-3616

Mailing address

2050 E Algonquin Rd
Suite 610
Schaumburg, IL 60173-4144
Phone (888) 988-4066

Other providers in Andrews, TX

All providers in Andrews, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.