Mccollum, Andrew David
Mccollum, Andrew David is an individual health care provider with primary practice located at 3410 Worth St , Dallas TX 75246-2003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Mccollum, Andrew David can be contacted via phone (214) 370-1000.Contact Information
Primary practice address
3410 Worth St
Dallas TX 75246-2003
Phone: (214) 370-1000
Fax: (214) 370-1202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | K1252 | Texas |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | K1252 | Texas |
Profile Details
| NPI number | 1407898505 |
|---|---|
| LBN Legal business name | Mccollum, Andrew David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Nov 7th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407898505 | NPPES |
| Texas | Other | 8R1500 | BLUE CROSS OF TX |
| Texas | MEDICAID | 150769105 | BLUE CROSS OF TX |
| Texas | MEDICAID | 150769104 | BLUE CROSS OF TX |
| Texas | MEDICAID | 150769106 | BLUE CROSS OF TX |
| Texas | Other | 150769102 | BLUE CROSS OF TX |
| Texas | MEDICAID | 105769101 | BLUE CROSS OF TX |
| Texas | MEDICAID | 150769103 | BLUE CROSS OF TX |
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