Individual
AIYANNA B ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1325 PENNSYLVANIA AVE, SUITE 600, FORT WORTH, TX 76104-2158
(817) 878-5298
(817) 878-5289
Mailing address
1325 PENNSYLVANIA AVE, SUITE 600, FORT WORTH, TX 76104-2158
(817) 878-5298
(817) 878-5289
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA08247500
NJ
207VM0101X
Maternal & Fetal Medicine Physician
25MA08247500
NJ
207VM0101X
Maternal & Fetal Medicine Physician
58398
GA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
N5598
TX
Other
Enumeration date
10/15/2007
Last updated
10/10/2014
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