Individual
DR. COREY RAWLINS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.S.S., M.S.
Contact information
Practice address
1615 TRUEMPER ST BLDG 6418, JBSA LACKLAND, TX 78236-5511
(757) 913-2847
Mailing address
381 TRS, BLDG 903, FT SAM HOUSTON, TX 78234
(210) 808-1121
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4736830-9922
UT
Other
Enumeration date
11/30/2005
Last updated
07/20/2023
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