Provider Demographics
NPI:1407324932
Name:ANDREWS, BRIAN KEITH JR
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:KEITH
Last Name:ANDREWS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9222 RED CASTLE LN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-3293
Mailing Address - Country:US
Mailing Address - Phone:832-560-6209
Mailing Address - Fax:
Practice Address - Street 1:9222 RED CASTLE LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-3293
Practice Address - Country:US
Practice Address - Phone:832-560-6209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty