Individual provider Active NPI

Victor Manuel Anda

  • Physician Assistant
  • Nolanville, TX
National Provider Identifier
1598882698
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1073848 Issued in TX
Practice address
319 Oak Ridge Dr
Nolanville, TX 76559-4647
Phone
(210) 393-0213
NPI assigned
Mar 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1073848 TX Primary

Addresses

Primary practice location

319 Oak Ridge Dr
Nolanville, TX 76559-4647

Mailing address

319 Oak Ridge Dr
Nolanville, TX 76559-4647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180117001410 TX Practitioner - Physician Assistant 1153680202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Urgent Care, PLLCGroup PAC ID 2961546221, 20 clinicians

Practice addresses (Care Compare)

2810 Clear Creek Rd
Killeen, TX 76549-7142
Phone (254) 312-4900

2812 Oakmark Dr
Suite a
Belton, TX 76513-1200
Phone (254) 300-9191

300 W Central Texas Expy
Suite 115
Harker Heights, TX 76548-1888
Phone (254) 833-8456

3202 S W S Young Dr
Suite 106
Killeen, TX 76542-6537
Phone (254) 781-5446

4901 S 31St St
Suite 110
Temple, TX 76502-3948
Phone (240) 994-0451

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1073848TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Urgent Care PLLC CurrentSince Feb 1, 2019 Accepting new patients

Locations

300 W Central Texas Expy
Ste 115
Killeen, TX 76548
Phone (254) 383-2481

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598882698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 OAK RIDGE DR",
            "city": "NOLANVILLE",
            "state": "TX",
            "postal_code": "765594647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 OAK RIDGE DR",
            "city": "NOLANVILLE",
            "state": "TX",
            "postal_code": "765594647",
            "telephone_number": "210-393-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDA",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "1073848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nolanville, TX

Sources for this page

Verify at the official NPI Registry.