Individual
MARY ELIZABETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
4270 GORGAS CIR BLDG 1070, FORT SAM HOUSTON, TX 78234-2737
(210) 916-3000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102204609
VA
Other
Enumeration date
05/11/2015
Last updated
10/18/2021
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