Individual provider · NPI-1

Cody N. Anderson, MD

Orthopaedic Surgery, Orthopaedic Trauma · Austin, TX

NPI number1285814244
StatusActive
Last updated in NPPESJun 18, 2018

Details

NPI
1285814244
Entity type
Individual (NPI-1)
Name
Cody N. Anderson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 7, 2007
Last updated
Jun 18, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XX0801X Orthopaedic Surgery, Orthopaedic TraumaN0606TXYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

12201 Renfert Way
Suite 115
Austin, TX 78758

Phone 512-551-0375 · Fax 512-551-0634

Mailing address

Po Box 846098
Dallas, TX 75284-6098

Phone 903-324-6400 · Fax 512-551-0634

Other practice locations

12201 Renfert Way
Suite 115
Austin, TX 78758-5354

Phone 512-551-0375 · Fax 512-551-0634

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