Provider Demographics
NPI:1457301764
Name:PELPHREY, ANDREW CHRISTIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CHRISTIAN
Last Name:PELPHREY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 W 45TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-3013
Mailing Address - Country:US
Mailing Address - Phone:512-451-5800
Mailing Address - Fax:
Practice Address - Street 1:405 W 45TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-3013
Practice Address - Country:US
Practice Address - Phone:512-451-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7518207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G6504Medicare PIN
TXI59670Medicare UPIN