Individual provider · NPI-1

Dr. Nicholas Daniel Andersen, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Dallas, TX

NPI number1457519837
StatusActive
Last updated in NPPESMar 13, 2024

Details

NPI
1457519837
Entity type
Individual (NPI-1)
Name
Dr. Nicholas Daniel Andersen
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 2, 2008
Certification date
Mar 13, 2024
Last updated
Mar 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)U1229TXYes
208600000X Surgery149176NC

Practice location

1935 Medical District Dr
Dallas, TX 75235-7701

Phone 214-456-5000 · Fax 214-456-5015

Mailing address

Po Box 845347
Dallas, TX 75284-5347

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