Provider Demographics
NPI:1942528120
Name:GENITEMPO, ANDREW GREGORY (DO)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:GREGORY
Last Name:GENITEMPO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 BARKSTON DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-4221
Mailing Address - Country:US
Mailing Address - Phone:281-684-8153
Mailing Address - Fax:
Practice Address - Street 1:1127 BARKSTON DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-4221
Practice Address - Country:US
Practice Address - Phone:281-684-8153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program