Individual
BRADY E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1180 SETON PKWY STE 220, KYLE, TX 78640-6179
(512) 504-0877
(512) 504-0864
Mailing address
7200 WYOMING SPGS, SUITE 500, ROUND ROCK, TX 78681-4303
(512) 244-0111
(512) 244-2479
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M0343
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196312601
—
TX
01
—
7595865
AETNA
TX
Enumeration date
12/02/2006
Last updated
06/11/2024
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