Provider Demographics
NPI:1104393586
Name:JAMES M ANDRY MD PA
Entity Type:Organization
Organization Name:JAMES M ANDRY MD PA
Other - Org Name:SLEEP THERAPY & RESEARCH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN - PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ANDRY
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:210-614-6000
Mailing Address - Street 1:5290 MEDICAL DR STE A
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4849
Mailing Address - Country:US
Mailing Address - Phone:210-614-6000
Mailing Address - Fax:210-614-7728
Practice Address - Street 1:19222 STONEHUE STE 105A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3453
Practice Address - Country:US
Practice Address - Phone:210-888-1720
Practice Address - Fax:210-614-7728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-24
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Single Specialty