Provider Demographics
NPI:1538153317
Name:ANDREWS, ANNA H (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:H
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:KATHLEEN
Other - Last Name:HOUFEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2020 W. HIGHWAY 114
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3593
Mailing Address - Country:US
Mailing Address - Phone:817-912-8400
Mailing Address - Fax:817-912-8410
Practice Address - Street 1:2020 W. HIGHWAY 114
Practice Address - Street 2:SUITE 200
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3593
Practice Address - Country:US
Practice Address - Phone:817-912-8400
Practice Address - Fax:817-912-8410
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX244510363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX291189YMNTMedicare PIN
P61724Medicare UPIN