STEVEN EARL FANDRE (NPI# 1891847182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891847182 |
| Entity Type | Individual |
| Full Name | STEVEN EARL FANDRE |
| Credential | PA |
| Practice Address |
630 N Coit Rd Suite 2200 Richardson TX 75080-3700 |
| Mailing Address |
1322 Lakeridge Ln Irving TX 75063-5079 |
| Practice Telephone | 2143897431 |
| Mailing Telephone | 2148505377 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00241 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
630 N COIT RD SUITE 2200 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912921099 | Walter J Pintal | Psychologist | 630 N Coit Rd, Suite 2200, Richardson, TX 75080-3700 | 2006-07-26 |
| 1205173754 | North Texas Surgicare Physicians, P.a. | Surgery | 630 N Coit Rd, Ste 2200, Richardson, TX 75080-3700 | 2013-01-03 |
| 1427395961 | North Texas Care Physicians, P.a. | Internal Medicine | 630 N Coit Rd, Suite 2200, Richardson, TX 75080-3700 | 2013-01-03 |
| 1154477529 | Care Physician Pa | Internal Medicine | 630 N Coit Rd, Ste 2200, Richardson, TX 75080-3700 | 2007-01-26 |
| 1104970888 | American Institute of Gastric Banding Ltd | Clinic/Center | 630 N Coit Rd, Suite 2200, Richardson, TX 75080-3700 | 2007-01-22 |
| 1073614830 | Laura Marie Pavelka | Nurse Practitioner | 630 N Coit Rd, Suite 2200, Richardson, TX 75080-3700 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891126298 | Laila Azouggagh | Physician Assistant | 331 Melrose Dr Ste 220, Richardson, TX 75080-4773 | 2013-12-10 |
| 1073501151 | Biju K Chacko | Physician Assistant | 800 W Campbell Rd, Richardson, TX 75080-3021 | 2005-10-12 |
| 1689195539 | Ana Lumbreras | Physician Assistant | 14211 Coit Rd, Richardson, TX 75080 | 2017-06-30 |
| 1538183744 | Melissa Hawkins Chaplik | Physician Assistant | 331 Melrose Dr, Suite 220, Richardson, TX 75080-4405 | 2006-07-27 |
| 1871515080 | Shandolyn D Story | Physician Assistant | 101 S Coit Rd, Suite 317, Richardson, TX 75080-5743 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.