Renee Anderson
General Practice in Fort Sam Houston, TX. Individual provider (NPI-1).
NPI number1386349371
StatusActive
Last updated in NPPESDec 26, 2024
Details
- NPI
- 1386349371
- Entity type
- Individual (NPI-1)
- Name
- Renee Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2023
- Certification date
- Dec 26, 2024
- Last updated
- Dec 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 0101283946 | VA | Yes |
| 171000000X | Military Health Care Provider | – | – |
Practice location
3551 Roger Brooke DrFort Sam Houston, TX 78234-4504
Phone 210-916-4141
Mailing address
3551 Roger Brooke DrFort Sam Houston, TX 78234-4504
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All 67 General Practice Physician providers in Fort Sam Houston · All 2,165 providers in Fort Sam Houston
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