Individual
ROBERT DALE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H2211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326811-02
—
TX
01
—
85V815
BLUE CROSS
TX
01
—
P00246112
RAIL ROAD MEDICARE
TX
Enumeration date
10/04/2005
Last updated
04/09/2008
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