Individual
DOUGLAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-4402
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
K7974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043144703
—
TX
Enumeration date
08/10/2006
Last updated
09/04/2020
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