Provider Demographics
NPI:1851313381
Name:KATZ, ANDRES U (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDRES
Middle Name:U
Last Name:KATZ
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 1:103 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-3033
Mailing Address - Country:US
Mailing Address - Phone:972-771-5366
Mailing Address - Fax:972-771-0424
Practice Address - Street 1:103 N 1ST ST
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-3033
Practice Address - Country:US
Practice Address - Phone:972-771-5366
Practice Address - Fax:972-771-0424
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE44432085R0202X, 2085R0204X, 2085U0001X, 208600000X, 2086S0129X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE4443OtherTEXAS MEDICAL LICENSE
TX8649J1Medicare PIN
TX00AK55Medicare PIN
TX489891YKQLMedicare PIN