Individual provider · NPI-1

Deron Anders

Contractor · Dallas, TX

NPI number1992696264
StatusActive
Last updated in NPPESJul 14, 2025

Details

NPI
1992696264
Entity type
Individual (NPI-1)
Name
Deron Anders
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 14, 2025
Certification date
Jul 14, 2025
Last updated
Jul 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X ContractorWWK0154TXYes
347C00000X Private VehicleWWK0154TX

Practice location

8416 Capriola Ln # 4
Dallas, TX 75228-4926

Phone 682-564-2270

Mailing address

8416 Capriola Ln # 4
Dallas, TX 75228-4926

Phone 682-564-2270

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