Provider Demographics
NPI:1598927568
Name:ANDRADO, DEBORAH CHRISTINA (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:CHRISTINA
Last Name:ANDRADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:AGUILAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:919 HIDDEN RDG
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3813
Mailing Address - Country:US
Mailing Address - Phone:469-282-2711
Mailing Address - Fax:469-282-2609
Practice Address - Street 1:2020 SUNDANCE PKWY STE A1
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2771
Practice Address - Country:US
Practice Address - Phone:830-625-7748
Practice Address - Fax:830-625-2563
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9798207V00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1G7384OtherMEDICARE
TXP02587332OtherMEDICARE RAILROAD
TX316374304Medicaid