Anderson, Lee S

Anderson, Lee S is an individual health care provider with primary practice located at 900 W Magnolia Ave Suite 202, Fort Worth TX 76104-8517. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Anderson, Lee S can be contacted via phone (817) 334-0882.

Contact Information

Primary practice address
900 W Magnolia Ave Suite 202 Fort Worth TX 76104-8517
Phone: (817) 334-0882
Fax: (817) 334-0885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X E2439 Texas

Profile Details

NPI number 1669463295
LBN Legal business name Anderson, Lee S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Apr 11th, 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 1669463295 NPPES
Texas MEDICAID 48797702
Texas MEDICAID 48797703

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