Medical Offices of Devry Anderson

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

N3448 Issued in TX

Legal business name

MEDICAL OFFICES OF DEVRY ANDERSON

Doing business as

Medical Offices of Central Texas

Practice address

1033 S Fort Hood St Ste 200
Killeen, TX 76541-7436

Phone

(254) 630-9366

Fax

(254) 634-7700

NPI assigned

Sep 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Devry Calvin Anderson, M.D.

Title

Ceo

Phone

(254) 630-9366

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medical Offices of Central Texas Doing business as

Locations

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1578870622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 S FORT HOOD ST STE 200",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417436",
            "telephone_number": "254-630-9366",
            "fax_number": "254-634-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 S FORT HOOD ST STE 200",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417436",
            "telephone_number": "254-630-9366",
            "fax_number": "254-634-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL OFFICES OF DEVRY ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DEVRY",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-630-9366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "N3448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210501701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210501702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Offices of Central Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan McLenithan
• Tashrica McMillin
• Tonia G McNaughton, NP
• Tom McNeely
• Maegan C McNeese, LCSW
• Matthew L Meehan, FNP-BC
• Pankaj Mehta, MD
• Rohan Mehta, MD
• Stephanie Melendez, PSYD
• Steven Melter, DMD, MA

• Primary Care Clinic/Center in Killeen, TX
• Providers in Killeen, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.