Anthony Anderson, P.A.
Physician Assistant in Tyler, TX. Individual provider (NPI-1).
NPI number1508901596
StatusActive
Last updated in NPPESFeb 20, 2017
Details
- NPI
- 1508901596
- Entity type
- Individual (NPI-1)
- Name
- Anthony Anderson
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2007
- Last updated
- Feb 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA02057 | TX | Yes |
Practice location
1327 Troup HwySuite 600
Tyler, TX 75701-4443
Phone 903-510-8840 · Fax 903-510-1121
Mailing address
Po Box 846098Dallas, TX 75284-6098
Phone 903-324-6400
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All 102 Physician Assistant providers in Tyler · All 6,843 providers in Tyler
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