Provider Demographics
NPI:1548617061
Name:AWAD, ANDREW W (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:W
Last Name:AWAD
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 1:6100 COLLEYVILLE BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-8021
Mailing Address - Country:US
Mailing Address - Phone:817-587-9074
Mailing Address - Fax:817-803-8768
Practice Address - Street 1:6100 COLLEYVILLE BLVD STE 160
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-8021
Practice Address - Country:US
Practice Address - Phone:817-587-9074
Practice Address - Fax:817-803-8768
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS0619207Q00000X
NY300420207Q00000X
FLME150167207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine