Tex W Anderson Jr., TRADITIONAL PRACTITI
Individual provider Active NPI Counselor · Crownpoint, NM
NPI 1811280704 · NPPES record last updated Jul 31, 2019
Key facts
- NPI
- 1811280704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2314 Southwest Highland Drive
Crownpoint, NM 87313 - Phone
- (505) 786-2111
- Fax
- (505) 786-2020
- NPI assigned
- May 25, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Navajo Nation Crownpoint Outpatient Treatment Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NM | Yes |
Addresses
Primary practice location
2314 Southwest Highland Drive
Crownpoint, NM 87313
Mailing address
PO Box 1144
Crownpoint, NM 87313-1144
Phone (505) 786-2111
Other practice location 1
.5 miles off HWY 371
Thoreau, NM 87323-1289
Phone (505) 905-0061
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 860092335 | Other | NM | BEHAVIORAL HEALTH SERVICE |
Other providers in Crownpoint, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.