Provider Demographics
NPI:1376002485
Name:ANDRE, VAN KADEN (MD)
Entity type:Individual
Prefix:
First Name:VAN
Middle Name:KADEN
Last Name:ANDRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:115 COLLEGE STREET
Mailing Address - Street 2:
Mailing Address - City:SCHULENBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78956
Mailing Address - Country:US
Mailing Address - Phone:979-505-4023
Mailing Address - Fax:979-725-2132
Practice Address - Street 1:115 COLLEGE STREET
Practice Address - Street 2:
Practice Address - City:SCHULENBURG
Practice Address - State:TX
Practice Address - Zip Code:78956
Practice Address - Country:US
Practice Address - Phone:979-505-4023
Practice Address - Fax:979-725-2132
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU3143207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology