Provider Demographics
NPI:1083713838
Name:ANDREA, JOYCE FEGHALI (PA)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:FEGHALI
Last Name:ANDREA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-7208
Mailing Address - Country:US
Mailing Address - Phone:214-424-2200
Mailing Address - Fax:214-231-2159
Practice Address - Street 1:8200 WALNUT HILL LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4402
Practice Address - Country:US
Practice Address - Phone:214-645-7408
Practice Address - Fax:972-681-7838
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2024-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA04145363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8251NYOtherBLUE CROSS BLUE SHEILD
MA1157987OtherDEA
MA1157987OtherDEA