Individual
CHARLES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 MEDICAL PKWY, BRENHAM, TX 77833-5413
(979) 337-5000
Mailing address
PO BOX 650823, DALLAS, TX 75265-0823
(800) 684-0806
(405) 844-1794
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H2924
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138508017
—
TX
01
—
8K6580
BCBS
TX
01
—
P00219910
RRMCR
TX
Enumeration date
08/19/2006
Last updated
12/15/2014
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