Individual
MARK R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J0423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005
TRICARE
TX
01
—
0061EK
BCBS
TX
01
—
015
TRICARE
TX
05
—
130578103
—
TX
05
—
130578107
—
TX
05
—
130578108
—
TX
05
—
130578109
—
TX
05
—
130578110
—
TX
01
—
75-0818167-048
TRICARE
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
750818167-044
TRICARE
TX
01
—
750818167022
TRICARE
TX
01
—
8DQ330
BCBS
TX
01
—
8EX117
BCBS
TX
01
—
8L1047
BCBS
TX
01
—
990014514
RAIL ROAD
TX
01
—
P01464103
RAIL ROAD MEDICARE
TX
Enumeration date
06/06/2006
Last updated
07/10/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us