Individual
DR. GARRETT K. ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8401 DATAPOINT DR, SUITE 600, SAN ANTONIO, TX 78229-5900
(210) 616-7700
(210) 616-7709
Mailing address
8401 DATAPOINT DR, SUITE 600, SAN ANTONIO, TX 78229-5900
(210) 616-7700
(210) 616-7709
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
K5443
TX
2085R0202X
Diagnostic Radiology Physician
Primary
K5443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157799101
—
TX
01
—
157799103
CSHCN
TX
05
—
157799104
—
TX
01
—
K5443
TEXAS MEDICAL LICENSE
TX
Enumeration date
02/28/2006
Last updated
03/16/2016
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