Basic Information
| Provider Information | |||||||||
| NPI: | 1194763052 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ANDREWS | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | D.D.S. PH.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 590004 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 772590004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814869326 | ||||||||
| FaxNumber: | 2814866592 | ||||||||
| Practice Location | |||||||||
| Address1: | 4635 SOUTHWEST FWY | ||||||||
| Address2: | SUITE 700 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770277169 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7138770697 | ||||||||
| FaxNumber: | 7136238519 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223X0400X | 8394 | TX | Y | Dental Providers | Dentist | Orthodontics and Dentofacial Orthopedics |
No ID Information.