Anderson Medical Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K2840 Issued in TX

Legal business name

ANDERSON MEDICAL ASSOCIATES PA

Practice address

1800 Windmill Hill LN
Desoto, TX 75115-2768

Phone

(214) 789-6568

Fax

(972) 780-2796

NPI assigned

Mar 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Howard Eugene Anderson Jr., M.D.

Title

President/Owner

Phone

(972) 780-2730

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1578734786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WINDMILL HILL LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152768",
            "telephone_number": "214-789-6568",
            "fax_number": "972-780-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WINDMILL HILL LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152768",
            "telephone_number": "214-789-6568",
            "fax_number": "972-780-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "972-780-2730",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carla Anderson, MD
• Chasity Anderson, FNP
• NA'Kejia Anderson
• Thomasina Deshea Anderson, REGISTERED NURSE
• Andrea V. Brown, M.D., P.a.

• All providers in Desoto, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.