Edwin Alexander Anders, MD
Preventive Medicine, Public Health & General Preventive Medicine in Tyler, TX. Individual provider (NPI-1).
NPI number1174943617
StatusActive
Last updated in NPPESSep 14, 2020
Details
- NPI
- 1174943617
- Entity type
- Individual (NPI-1)
- Name
- Edwin Alexander Anders
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2014
- Certification date
- Sep 14, 2020
- Last updated
- Sep 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | S8148 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
11937 Us Highway 271Tyler, TX 75708-3154
Phone 318-789-7378 · Fax 903-877-7651
Mailing address
130 Division StDerby, CT 06418-1326
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