Hawthorne, Andy Leston

Hawthorne, Andy Leston is an individual health care provider with primary practice located at 7200 Wyoming Spgs Ste 500, Round Rock TX 78681-4303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hawthorne, Andy Leston can be contacted via phone (512) 244-0111.

Contact Information

Primary practice address
7200 Wyoming Spgs Ste 500 Round Rock TX 78681-4303
Fax: (512) 244-2479
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M2640 Texas

Profile Details

NPI number 1801919881
LBN Legal business name Hawthorne, Andy Leston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Oct 11th, 2021 - about 5 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 1801919881 NPPES
Texas MEDICAID 192955601
Texas Other 9608066
Texas Other 8AK836

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