Andersen, Darrell Wesley

Andersen, Darrell Wesley is an individual health care provider with primary practice located at 13737 Noel Road Suite 1400, Dallas TX 75240-2004. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Andersen, Darrell Wesley can be contacted via phone (972) 715-5000.

Contact Information

Primary practice address
13737 Noel Road Suite 1400 Dallas TX 75240-2004
Phone: (972) 715-5000
Fax: (972) 715-9976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 611659 Texas

Profile Details

NPI number 1669515367
LBN Legal business name Andersen, Darrell Wesley
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated May 21st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669515367 NPPES
Texas MEDICAID 003484508
Texas Other 89614U
Texas Other P00956660
Texas MEDICAID 003484507
Texas MEDICAID 003484505

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