Anderson, Charles

Anderson, Charles is an individual health care provider with primary practice located at 700 Medical Pkwy , Brenham TX 77833-5413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Charles can be contacted via phone (979) 337-5000.

Contact Information

Primary practice address
700 Medical Pkwy Brenham TX 77833-5413
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X H2924 Texas

Profile Details

NPI number 1265546808
LBN Legal business name Anderson, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Dec 15th, 2014 - about 10 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 1265546808 NPPES
Texas Other 8K6580 BCBS
Texas Other P00219910 BCBS
Texas MEDICAID 138508017 BCBS

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