Andrade, Marvin A

Andrade, Marvin A is an individual health care provider with primary practice located at 11811 Fallbrook Dr Ste B-2 , Houston TX 77065-3507. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Andrade, Marvin A can be contacted via phone (832) 237-8882.

Contact Information

Primary practice address
11811 Fallbrook Dr Ste B-2 Houston TX 77065-3507
Phone: (832) 237-8882
Fax: (832) 237-8886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05379 Texas

Profile Details

NPI number 1013175876
LBN Legal business name Andrade, Marvin A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Jul 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013175876 NPPES
Texas Other PA05379 STATE LICENSE

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