Individual
BRIAN JAY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3950 SUNSET DR, SAN ANGELO, TX 76904-5622
(325) 949-1600
(325) 944-3754
Mailing address
3950 SUNSET DR, SAN ANGELO, TX 76904-5622
(325) 949-1600
(325) 944-3754
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4939
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001442501
—
TX
01
—
8F5111
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
05/24/2005
Last updated
10/04/2012
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