Anderson, Tanner

Anderson, Tanner is an individual health care provider with primary practice located at 3126 W Fm 120 , Denison TX 75020-1249. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Anderson, Tanner can be contacted via phone (903) 416-7544.

Contact Information

Primary practice address
3126 W Fm 120 Denison TX 75020-1249
Phone: (903) 416-7544
Fax: (903) 416-7545
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP133514 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP133514 Texas

Profile Details

NPI number 1902346109
LBN Legal business name Anderson, Tanner
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2017
Last updated Nov 16th, 2022 - about 2 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 1902346109 NPPES
Texas MEDICAID 3691941-02

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