Anderson, Cody N.
Anderson, Cody N. is an individual health care provider with primary practice located at 12201 Renfert Way Suite 115, Austin TX 78758. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is his primary health care specialty. Anderson, Cody N. can be contacted via phone (512) 551-0375.Contact Information
Primary practice address
12201 Renfert Way Suite 115
Austin TX 78758
Phone: (512) 551-0375
Fax: (512) 551-0634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | N0606 | Texas |
Profile Details
| NPI number | 1285814244 |
|---|---|
| LBN Legal business name | Anderson, Cody N. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2007 |
| Last updated | Jun 18th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285814244 | NPPES |
| Texas | MEDICAID | 196190601 | |
| Texas | MEDICAID | 196190607 | |
| Texas | Other | 8BE151 | |
| Texas | Other | P02028499 | |
| Texas | Other | 327352YSWM |
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