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Dr. Casey L Anderson, MD
Student in an Organized Health Care Education/Training Program in Southlake, Texas
NPI 1558617464

Casey L Anderson is a Student in an Organized Health Care Education/Training Program based in Memphis, TX. Casey L Anderson practices in Southlake, TX and has the professional credentials of MD. The NPI Number for Casey L Anderson is 1558617464 and holds a License No. (Texas).

The current practice location address for Casey L Anderson is 415 E Southlake Blvd Ste 101, Southlake, TX and can be reached out via phone at 817-416-8080 and via fax at 817-421-8327.

Location: 415 E Southlake Blvd Ste 101, Southlake, TX, 38163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558617464
Provider Name
Casey L Anderson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
415 E Southlake Blvd Ste 101, Southlake, TX, 38163
Phone Number
817-416-8080
Fax Number
817-421-8327
Provider Enumeration Date
07/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
415 E Southlake Blvd Ste 101
City
Southlake
State
Texas
Zip
76092-6279
Phone Number
817-416-8080
Fax Number
817-421-8327
person
Provider Business Mailing Address Details
Address
415 E Southlake Blvd Ste 101
City
Southlake
State
Texas
Zip
76092-6279
Phone Number
817-416-8080
Fax Number
817-421-8327
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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