Individual
DR. KENT LOWELL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
701 S ZARZAMORA ST, SAN ANTONIO, TX 78207-5209
(210) 358-7600
Mailing address
7703 FLOYD CURL DR, APC 7, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M5024
TX
207W00000X
Ophthalmology Physician
MD11210
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195720101
—
TX
01
—
195720102
CSHCN
TX
01
—
411309
BLUE CROSS AND BLUE SHEILD OF RI
RI
01
—
8W1155
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/31/2006
Last updated
08/24/2016
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