Anderson, Gregg D

Anderson, Gregg D is an individual health care provider with primary practice located at 4100 Summerhill Rd , Texarkana TX 75503-2732. 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. Anderson, Gregg D can be contacted via phone (903) 735-9802.

Contact Information

Primary practice address
4100 Summerhill Rd Texarkana TX 75503-2732
Phone: (903) 735-9802
Fax: (903) 735-9806
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 561654 Texas

Profile Details

NPI number 1609874080
LBN Legal business name Anderson, Gregg D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jul 26th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609874080 NPPES
Arkansas Other 98043 BLUE CROSS
Arkansas Other 81102H BLUE CROSS
Arkansas MEDICAID 002443201 BLUE CROSS
Arkansas MEDICAID 136412701 BLUE CROSS

Popular Providers