Provider Demographics
NPI:1275285835
Name:ANDRY NEUROLOGY, PLLC
Entity Type:Organization
Organization Name:ANDRY NEUROLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/ SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ANDRY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:210-865-7453
Mailing Address - Street 1:4219 HILLSBORO PIKE
Mailing Address - Street 2:#206
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215
Mailing Address - Country:US
Mailing Address - Phone:210-865-7453
Mailing Address - Fax:
Practice Address - Street 1:4219 HILLSBORO PIKE
Practice Address - Street 2:#206
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215
Practice Address - Country:US
Practice Address - Phone:210-865-7453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center