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Anderson Sa LLC

Physician Assistant, Surgical in Katy, TX. Organization (NPI-2).

NPI number1205442423
StatusActive
Last updated in NPPESFeb 3, 2021

Details

NPI
1205442423
Entity type
Organization (NPI-2)
Legal business name
Anderson Sa LLC
Organization subpart
No
Enumeration date
Sep 22, 2020
Certification date
Feb 3, 2021
Last updated
Feb 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical––Yes

Practice location

18023 Wild Willow Ln
Katy, TX 77449-4438

Phone 936-332-5917

Mailing address

18023 Wild Willow Ln
Katy, TX 77449-4438

Other practice locations

23920 Katy Fwy Ste 200
Katy, TX 77494-0881

Phone 936-332-5917

Authorized official

Amanda Katheryn Anderson
Owner
9363325917

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