Individual
DR. LARRY D ANDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. , PHD
Contact information
Practice address
2201 INWOOD RD, DALLAS, TX 75235
(214) 645-4673
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(214) 645-4673
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
N0607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8455032
—
WA
Enumeration date
06/01/2006
Last updated
05/22/2019
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