Individual
MR. CHARLES PETER ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 REBEL ROAD UNIT 900, KYLE, TX 78640
(512) 491-3730
(512) 268-9129
Mailing address
PO BOX 1804, SAN MARCOS, TX 78667-1804
(512) 491-3730
(512) 268-9129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1801
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121034601
—
TX
Enumeration date
07/03/2006
Last updated
11/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us