Provider Demographics
NPI:1568952513
Name:ANDY'S AUTO & AIR SUPPLIES INC.
Entity Type:Organization
Organization Name:ANDY'S AUTO & AIR SUPPLIES INC.
Other - Org Name:ANDY'S MOBILITY & LIFT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-722-7371
Mailing Address - Street 1:11901 SARA RD
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-1803
Mailing Address - Country:US
Mailing Address - Phone:956-722-7371
Mailing Address - Fax:956-727-7835
Practice Address - Street 1:11901 SARA RD
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-1803
Practice Address - Country:US
Practice Address - Phone:956-722-7371
Practice Address - Fax:956-727-7835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment