Anderson, Errol Claude

Anderson, Errol Claude is an individual health care provider with primary practice located at 500 W 4Th St , Odessa TX 79761-5001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Anderson, Errol Claude can be contacted via phone (432) 640-1273.

Contact Information

Primary practice address
500 W 4Th St Odessa TX 79761-5001
Phone: (432) 640-1273
Fax: (432) 640-4606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X F9135 Texas

Profile Details

NPI number 1932101680
LBN Legal business name Anderson, Errol Claude
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jan 10th, 2013 - 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 1932101680 NPPES
Texas MEDICAID 129303708

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