| Anderson Medical Group Of Texas Pllc | |
|
1411 N Beckley Ave Ste 352 Dallas TX 75203-1270 | |
| (469) 981-2648 | |
| (888) 570-2264 |
| Full Name | Anderson Medical Group Of Texas Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1411 N Beckley Ave Ste 352, Dallas, Texas |
| Authorized Official Name and Position | Howard E Anderson (PRESIDENT) |
| Authorized Official Contact | 4699812648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Medical Group Of Texas Pllc 1411 N Beckley Ave Ste 352 Dallas TX 75203-1270 Ph: (469) 981-2648 | Anderson Medical Group Of Texas Pllc 1411 N Beckley Ave Ste 352 Dallas TX 75203-1270 Ph: (469) 981-2648 |
| NPI Number | 1427713239 |
|---|---|
| Provider Enumeration Date | 11/05/2021 |
| Last Update Date | 11/05/2021 |
| Medicare PECOS PAC ID | 1951791995 |
|---|---|
| Medicare Enrollment ID | O20211206000985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427713239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Howard Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396825006 PECOS PAC ID: 6709797020 Enrollment ID: I20090526000087 |
| Provider Name | Angela D Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881236685 PECOS PAC ID: 0244669752 Enrollment ID: I20200405000065 |
| Provider Name | April Machelle Bledsoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285263087 PECOS PAC ID: 2961815881 Enrollment ID: I20210113001128 |
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