Basic Information
| Provider Information | |||||||||
| NPI: | 1225489362 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CLIFFORD | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | DAVID | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | MOT, OTR/L, ATP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9220 KIRBY DR STE 700 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770542535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137911011 | ||||||||
| FaxNumber: | 7137911047 | ||||||||
| Practice Location | |||||||||
| Address1: | 9220 KIRBY DR STE 700 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770542535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137911011 | ||||||||
| FaxNumber: | 7137911047 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2016 | ||||||||
| LastUpdateDate: | 06/30/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 247200000X | Y | Technologists, Technicians & Other Technical Service Providers | Technician, Other |
No ID Information.