Anderson, Mikala Brooke
Anderson, Mikala Brooke is an individual health care provider with primary practice located at 1411 College Dr , Texarkana TX 75503-3533. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Anderson, Mikala Brooke can be contacted via phone (903) 791-1110.Contact Information
Primary practice address
1411 College Dr
Texarkana TX 75503-3533
Phone: (903) 791-1110
Fax: (903) 791-9353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | S7168 | Texas |
Profile Details
| NPI number | 1841729480 |
|---|---|
| LBN Legal business name | Anderson, Mikala Brooke |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2017 |
| Last updated | Aug 28th, 2023 - about last year |
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 | 1841729480 | NPPES |
| Texas | Other | S7168 | TMB |
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