Provider Demographics
NPI:1952344657
Name:EBERT, ANDREW MARSHALL (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MARSHALL
Last Name:EBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4611 GUADALUPE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-2928
Mailing Address - Country:US
Mailing Address - Phone:512-476-2830
Mailing Address - Fax:512-583-1099
Practice Address - Street 1:4611 GUADALUPE ST STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-2928
Practice Address - Country:US
Practice Address - Phone:512-476-2830
Practice Address - Fax:512-583-1099
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200600460207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery