Individual
ANDREW E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1340 N HIGHWAY 377 STE 110, PILOT POINT, TX 76258-3765
(940) 686-0860
(940) 686-5834
Mailing address
PO BOX 1979, 1340 N HWY 377 STE 110, PILOT POINT, TX 76258-1979
(940) 686-0860
(940) 686-5834
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213110401
—
TX
Enumeration date
03/19/2007
Last updated
09/28/2010
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