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Individual
DR. KIRK LOGAN ANDERSON
Active
Individual
DR. KIRK LOGAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
F5818
TX
207Q00000X
Family Medicine Physician
Primary
F5818
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
F5818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010001278
RAILROAD MEDICARE
TX
01
—
126889802
EPSDT
TX
05
—
126889804
—
TX
05
—
1309494-02
—
TX
Enumeration date
07/10/2006
Last updated
12/09/2009
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