Organization
MEDICAL OFFICES OF DEVRY ANDERSON
Active
Other names
Medical Offices of Central Texas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVRY CALVIN ANDERSON M.D. (CEO)
(254) 630-9366
Entity
Organization
Contact information
Practice address
1033 S FORT HOOD ST STE 200, KILLEEN, TX 76541-7436
(254) 630-9366
(254) 634-7700
Mailing address
1033 S FORT HOOD ST STE 200, KILLEEN, TX 76541-7436
(254) 630-9366
(254) 634-7700
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
N3448
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210501701
—
TX
05
—
210501702
—
TX
Enumeration date
09/10/2010
Last updated
09/10/2010
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