Individual
ASHLEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17350 ST. LUKES WAY, STE 400, THE WOODLANDS, TX 77384-4167
(281) 444-3278
(832) 249-3861
Mailing address
17350 ST LUKES WAY STE 400, THE WOODLANDS, TX 77384-4167
(281) 444-3278
(832) 249-3850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03517
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201793102
—
TX
05
—
201793103
—
TX
01
—
8N0042
BCBS
TX
Enumeration date
09/15/2005
Last updated
01/17/2023
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