Anderson, Carrol L

Anderson, Carrol L is an sole proprietor health care provider with primary practice located at 3302 Boca Chica Blvd Ste 109 , Brownsville TX 78521-4271. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Anderson, Carrol L can be contacted via phone (956) 982-1001.

Contact Information

Primary practice address
3302 Boca Chica Blvd Ste 109 Brownsville TX 78521-4271
Phone: (956) 982-1001
Fax: (956) 982-1938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F6390 Texas
Allopathic & Osteopathic Physicians / General Practice 208D00000X F6390 Texas

Profile Details

NPI number 1457452922
LBN Legal business name Anderson, Carrol L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jan 3rd, 2017 - about 8 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 1457452922 NPPES
Texas Other 172803202 MEDICAID TEXAS HEALTH STEPS NUMBER
Texas MEDICAID 140145728 MEDICAID TEXAS HEALTH STEPS NUMBER
Texas Other 172803201 MEDICAID TEXAS HEALTH STEPS NUMBER
Texas Other 00345Y MEDICAID TEXAS HEALTH STEPS NUMBER

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