Mary Uffelman Andrews, MD
Individual provider Active NPI Ophthalmology Physician · Longview, TX
NPI 1811053630 · NPPES record last updated May 27, 2008
Key facts
- NPI
- 1811053630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- E0391 (TX)
- Practice address
- 804 Medical Dr
Suite I
Longview, TX 75605-5105 - Phone
- (903) 753-5700
- Fax
- (903) 757-6318
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | E0391 | TX | Yes |
Addresses
Primary practice location
804 Medical Dr
Suite I
Longview, TX 75605-5105
Mailing address
804 Medical Dr
Suite I
Longview, TX 75605-5105
Phone (903) 753-5700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089534401 | Medicaid | TX |
Other providers in Longview, TX
- Charity Michal Anderson
- Jessica Anderson
- Rebecca Anderson
- Ann Marie Andrews
- Jeremiah Shea Andrews
- Anesthesia Consultants
- Anesthesia Consultants of Longview
- Charles Ikechukwu Anugwom Jr.
- Jessica Aparicio
- April Gatson, MD
All providers in Longview, TX · Ophthalmology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2008. 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.