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Individual

LOWELL DEAN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1500 CITYWEST BLVD, HOUSTON, TX 77042
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(713) 620-4000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP104525
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002137004
TX
01
86182U
BCBS OF TEXAS
TX
01
8865UJ
BCBS
TX
01
P00273948
PART B RAILROAD MEDICARE
TX
01
P01528220
RR MEDICARE
TX
Enumeration date
10/20/2006
Last updated
06/05/2018
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