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Dr. Kyle Preston Anderson, MD
Student in an Organized Health Care Education/Training Program in Lubbock, Texas
NPI 1508072695

Kyle Preston Anderson is a Student in an Organized Health Care Education/Training Program based in Lubbock, TX. Kyle Preston Anderson practices in Lubbock, TX and has the professional credentials of MD. The NPI Number for Kyle Preston Anderson is 1508072695 and holds a License No. N3449 (Texas).

The current practice location address for Kyle Preston Anderson is 3615 19Th St, Lubbock, TX and can be reached out via phone at 806-725-2233 and via fax at 806-725-0053. You can also correspond with Kyle Preston Anderson through the mailing address at 3420 22ND PL, LUBBOCK, TX - 79410-1314 (mailing address contact number: 806-725-5844).

Location: 3615 19Th St, Lubbock, TX, 79410-1314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508072695
Provider Name
Kyle Preston Anderson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3615 19Th St, Lubbock, TX, 79410-1314
Phone Number
806-725-2233
Fax Number
806-725-0053
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
985396566 05 NM
8DV404 01 TX BCBS
920057100 01 TX FIRSTCARE
institution
Provider Business Practice Location Address Details
Address
3615 19Th St
City
Lubbock
State
Texas
Zip
79410-1203
Phone Number
806-725-2233
Fax Number
806-725-0053
person
Provider Business Mailing Address Details
Address
3615 19Th St
City
Lubbock
State
Texas
Zip
79410-1203
Phone Number
806-725-2233
Fax Number
806-725-0053
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
204058 (Louisiana)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
N3449 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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