Individual
C ERIK ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5330 OVERPASS RD STE 100, BUDA, TX 78610-2300
(737) 999-6600
(737) 999-6601
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N3447
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212128702
—
TX
05
—
212128703
—
TX
01
—
8F23961
MEDICARE PTAN
TX
01
—
TXB141256
MEDICARE PTAN
—
Enumeration date
01/18/2006
Last updated
09/04/2020
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