Provider Demographics
NPI:1013249887
Name:HIRSCH, ANDREA B (NP)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:B
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5506 100TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-6266
Mailing Address - Country:US
Mailing Address - Phone:816-560-5573
Mailing Address - Fax:
Practice Address - Street 1:5219 CITY BANK PKWY
Practice Address - Street 2:#160
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79407-3544
Practice Address - Country:US
Practice Address - Phone:806-761-0333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-04
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP119372363L00000X
TX789120363LF0000X
KS53-45901-061363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily