Individual
DR. CASEY L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 E SOUTHLAKE BLVD STE 101, SOUTHLAKE, TX 76092-6279
(817) 416-8080
(817) 421-8327
Mailing address
910 MADISON AVE, ROOM 315, MEMPHIS, TN 38163
(901) 448-1350
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/29/2012
Last updated
06/17/2020
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