ANDREW MICHAEL DE LA VEGA


Address: 850 Central Pkwy E, 275, Plano, TX 75074-5561
Phone: 9728814688

ANDREW MICHAEL DE LA VEGA (NPI# 1912245184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912245184
Entity Type Individual
Full Name ANDREW MICHAEL DE LA VEGA
Credential PA-C
Practice Address 850 Central Pkwy E
275
Plano
TX 75074-5561
Practice Telephone 9728814688
Practice Fax Number 9728814609
Mailing Telephone 9728814688
Mailing Fax Number 9728814609
Enumeration Date 2013-01-23
Last Update Date 2014-01-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX IND PTAN 288043YNEA 01
TX GROUP PTAN TXB140060 01
TX BCBS 8597NC 01
TX RAILROAD P01198637 01

Office Location

Street Address 850 CENTRAL PKWY E
275
City PLANO
State TX
Zip Code 75074-5561

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306942263 Kathleen M Oneill Nurse Practitioner 850 Central Pkwy E, Ste 275, Plano, TX 75074-5561 2006-09-16
1669015749 Arlene Martinez Nurse Practitioner 850 Central Pkwy E, Plano, TX 75074-5561 2019-10-22
1285031807 Solara Medical Group Pllc Internal Medicine 850 Central Pkwy E, Suite 275, Plano, TX 75074-5561 2014-11-25
1881090173 Corrie Virginia St. Pierre Nurse Practitioner 850 Central Pkwy E, Suite 275, Plano, TX 75074-5561 2014-11-13
1225437577 Jane Yun Nurse Practitioner 850 Central Pkwy E, Suite 275, Plano, TX 75074-5561 2014-08-21
1295094845 Avram Aaron Bram-mostyn Physical Medicine & Rehabilitation 850 Central Pkwy E, 275, Plano, TX 75074-5561 2012-05-15
1407187032 Fiona M Wycoff Physician Assistant 850 Central Pkwy E, Suite 275, Plano, TX 75074-5561 2010-01-21
1316273808 Sonceria Roper Nurse Practitioner 850 Central Pkwy E, Ste 275, Plano, TX 75074-5561 2009-10-19
1194963215 Augustina B Bonsu Nurse Practitioner 850 Central Pkwy E, Suite 275, Plano, TX 75074-5561 2009-01-27
1922296003 Bobbie J. Simlin Nurse Practitioner 850 Central Pkwy E, 275, Plano, TX 75074-5561 2007-10-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003433764 All Meds Rx Pharmacy 2520 Avenue K, Suite 600, Suite 600, Plano, TX 75074 2020-06-29
1457985582 Neighborhood Portable X-ray Services LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 6901 Avenue K Suite 109, Plano, TX 75074 2020-02-27
1063044113 Q Day Walk In Clinic and Spa, LLC Clinic/Center 3560 East Park Blvd., Plano, TX 75074 2020-02-06
1891326765 Kelly Joe Stanley Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 6901 Avenue K, 109, Plano, TX 75074 2020-01-30
1568016137 Virtex Assist, Pllc Physician Assistant 101 E Park Blvd Suite 600, Plano, TX 75074 2019-07-31
1154804128 Norte Service Providers LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2917 Duchess Trail, Plano, TX 75074 2018-09-14
1386124428 Jakayla Nekelle Price Occupational Therapist 3612 Kite Landing Ln., Plano, TX 75074 2018-08-17
1568948834 Sarah Lindsey Binion Counselor 101 East Park Blvd., Suite 600, Plano, TX 75074 2018-07-19
1659865327 Tim Ford Technician, Other 6829 Ave K, Suite 105, Plano, TX 75074 2018-06-18
1043708019 Oak Point Surgical Suites LLC Clinic/Center 2201 K Ave Ste B-100, Plano, TX 75074 2018-04-25
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477169522 Priority Assist Pllc Physician Assistant 48 Glenda Ln, Plano, IL 60545-9652 2020-09-23
1396223905 Wheelock Surgical Assist Pllc Physician Assistant 3104 Rockbrook Dr, Plano, TX 75074-4625 2018-08-06
1023512282 Pas Services Pllc Physician Assistant 2805 Dallas Pkwy Ste 640, Plano, TX 75093-8724 2018-03-22
1235658717 Devyn Lambell Physician Assistant 7000 W Plano Pkwy Ste 200, Plano, TX 75093-8490 2017-09-15
1932507746 Nspa of Texas, LLC Physician Assistant 5701 Lois Ln, Plano, TX 75024-5840 2014-12-10
1073740080 Gabriel Ray Schlebach Physician Assistant 3901 W. 15th, Plano, TX 75070-5169 2009-06-17
1053462978 Michael T. Timm Physician Assistant 1504 Huron Trl, Plano, TX 75075-6824 2007-01-16
1063475903 Devin Keith Mccoy Physician Assistant 1600 Coit Rd Ste 104, Plano, TX 75075 2006-04-11
1609837871 Samantha Parnell Physician Assistant 2313 Parkhaven Dr, Plano, TX 75075-2014 2006-03-29
1114534484 David Timothy Morris Physician Assistant 5228 W Plano Pkwy, Plano, TX 75093-5005 2020-09-30
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Competitor

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City PLANO
Zip Code 75074

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Dataset Information

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.

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