Individual
BRENDA H ANDERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1615 HOSPITAL BLVD STE A, GAINESVILLE, TX 76240-2032
(940) 641-3440
(940) 641-3553
Mailing address
1615 HOSPITAL BLVD STE A, GAINESVILLE, TX 76240-2032
(940) 641-3440
(940) 641-3553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00558
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346542115
GROUP NPI NUMBER
—
05
—
298439501
—
TX
01
—
8N8630
BLUECROSS BLUESHIELD
TX
Enumeration date
07/25/2006
Last updated
03/19/2021
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