Basic Information
Provider Information
NPI: 1922325422
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ANDRY
FirstName: NEHMAN
MiddleName: MOSES
NamePrefix: DR.
NameSuffix: II
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7703 FLOYD CURL DR
Address2: MC7977
City: SAN ANTONIO
State: TX
PostalCode: 782293901
CountryCode: US
TelephoneNumber: 2104509000
FaxNumber:  
Practice Location
Address1: 903 W MARTIN ST
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782070903
CountryCode: US
TelephoneNumber: 2103583985
FaxNumber: 2103585942
Other Information
ProviderEnumerationDate: 04/23/2010
LastUpdateDate: 07/02/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XP5255TXY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home