Anderson, Lee E
Anderson, Lee E is an individual health care provider with primary practice located at 1000 W Cannon St , Fort Worth TX 76104-3029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Anderson, Lee E can be contacted via phone (817) 877-5858.Contact Information
Primary practice address
1000 W Cannon St
Fort Worth TX 76104-3029
Phone: (817) 877-5858
Fax: (817) 335-4418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | F3023 | Texas |
Profile Details
| NPI number | 1376535310 |
|---|---|
| LBN Legal business name | Anderson, Lee E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Aug 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376535310 | NPPES |
| Texas | Other | 87C962 | BLUE CROSS |
| Texas | MEDICAID | 125761004 | BLUE CROSS |
| Texas | Other | 390001614 | BLUE CROSS |
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