Anderson, Lee E

Anderson, Lee E is an individual health care provider with primary practice located at 1000 W Cannon St , Fort Worth TX 76104-3029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Anderson, Lee E can be contacted via phone (817) 877-5858.

Contact Information

Primary practice address
1000 W Cannon St Fort Worth TX 76104-3029
Phone: (817) 877-5858
Fax: (817) 335-4418
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X F3023 Texas

Profile Details

NPI number 1376535310
LBN Legal business name Anderson, Lee E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Aug 4th, 2014 - about 12 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 1376535310 NPPES
Texas Other 87C962 BLUE CROSS
Texas MEDICAID 125761004 BLUE CROSS
Texas Other 390001614 BLUE CROSS

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