Luke Anderson, M.D.
Family Medicine in Granbury, TX. Individual provider (NPI-1).
NPI number1083972939
StatusActive
Last updated in NPPESMar 24, 2018
Details
- NPI
- 1083972939
- Entity type
- Individual (NPI-1)
- Name
- Luke Anderson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2012
- Last updated
- Mar 24, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | Q3477 | TX | Yes |
| 207P00000X | Emergency Medicine | Q3477 | TX |
Practice location
601 Fall Creek HwyGranbury, TX 76049-7960
Phone 817-326-3902
Mailing address
601 Fall Creek HwyGranbury, TX 76049-7960
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 24 Family Medicine Physician providers in Granbury · All 831 providers in Granbury
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