ANDREW J. FERCOWICZ M.D.P.A. NPI 1063779866

NPI Information

NPI: 1063779866
Provider Name: ANDREW J. FERCOWICZ, M.D.,P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
202 S JOHN REDDITT DR
LUFKIN, TX
ZIP 75904
Phone: (936) 639-1005
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ANDREW J. FERCOWICZ, M.D.,P.A. is a family medicine in Lufkin, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ANDREW J. FERCOWICZ, M.D.,P.A. NPI is 1063779866. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

202 S JOHN REDDITT DR
LUFKIN, TX
ZIP 75904-112
Phone: (936) 639-1005
Fax: (936) 639-1006

The provider's authorized official is Andrew J. Fercowicz .
The authorized official title is Doctor/owner and has the following contact phone number (936) 639-1005.

The enumeration date for this NPI number is 4/18/2012 and was last updated on 4/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		K0743	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	D29453	MEDICARE UPIN
2	0005AA	MEDICARE PIN
3	092111601	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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