Provider Demographics
NPI:1437168259
Name:ANDREWS, MELVA P (OTR)
Entity Type:Individual
Prefix:
First Name:MELVA
Middle Name:P
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:MELVA
Other - Middle Name:
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:MC7977
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-450-9000
Mailing Address - Fax:
Practice Address - Street 1:8403 FLOYD CURL DR
Practice Address - Street 2:RM 1.110
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3904
Practice Address - Country:US
Practice Address - Phone:210-567-8600
Practice Address - Fax:210-567-8609
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105660225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160084302OtherCIDC
TX160084301Medicaid
TX8L12199Medicare PIN