DR. ANDY'S FAMILY PRACTICE , PLLC; NPI #1497996888

Contact Information

DR. ANDY'S FAMILY PRACTICE , PLLC

1809 OZARKA COLLEGE DRIVE
MOUNTAIN VIEW, AR 72560

Phone: 870-269-7777
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for DR. ANDY'S FAMILY PRACTICE , PLLC

NPI Number 1497996888

LBN Legal business name DR. ANDY'S FAMILY PRACTICE , PLLC

Authorized official VASUGIE ANANDARAJ - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/13/2009

Last updated 10/07/2011 - About 15 years ago

Identifiers

Medicaid

161503001

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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