Anderson, Anthony

Anderson, Anthony is an individual health care provider with primary practice located at 1327 Troup Hwy Suite 600, Tyler TX 75701-4443. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Anderson, Anthony can be contacted via phone (903) 510-8840.

Contact Information

Primary practice address
1327 Troup Hwy Suite 600 Tyler TX 75701-4443
Phone: (903) 510-8840
Fax: (903) 510-1121
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA02057 Texas

Profile Details

NPI number 1508901596
LBN Legal business name Anderson, Anthony
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Feb 20th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508901596 NPPES
Texas Other PA02057 TEXAS STATE LICENSE
Texas Other P01572426 TEXAS STATE LICENSE
Texas Other 75-2616977-028 TEXAS STATE LICENSE
Texas MEDICAID 1508901596 TEXAS STATE LICENSE

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