Doctor Name: | ANDREA KALEENA GARABEDIAN |
NPI Number: | 1679967368 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 919 Hidden Rdg Irving, TX - 750383813 |
Business Phone Number: | 4692822711 |
Business Fax Number: | 4692822609 |
Mailing Address: | 3330 Masonic Dr, ALEXANDRIA |
State: | LA |
Postal Code: | 713013841 |
Phone Number: | 3184879878 |
Fax Number: | 3184879886 |
NPI Enumeration Date: | 03/20/2015 |
NPI Last Update Date: | 05/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |