Provider Demographics
NPI:1225489362
Name:CLIFFORD, ANDREW DAVID (MOT, OTR/L, ATP)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:DAVID
Last Name:CLIFFORD
Suffix:
Gender:M
Credentials:MOT, OTR/L, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9220 KIRBY DR STE 700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2535
Mailing Address - Country:US
Mailing Address - Phone:713-791-1011
Mailing Address - Fax:713-791-1047
Practice Address - Street 1:9220 KIRBY DR STE 700
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2535
Practice Address - Country:US
Practice Address - Phone:713-791-1011
Practice Address - Fax:713-791-1047
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other