Jacqueline Denise Anderson in Palestine - Contractor
Jacqueline Denise Anderson - NPI 1205903424
Jacqueline Denise Anderson is a Contractor in Palestine, Texas. Jacqueline Denise Anderson practices all healthcare services and medical treatments related to Contractor. The NPI Number for Jacqueline Denise Anderson is 1205903424. The last update date is 2007-07-08.
Jacqueline Denise Anderson's current location address is 640 Acr 3593, Palestine, Texas. You can contact this provider via phone number 9037291518 and fax number 9033894237. The mailing address for Jacqueline Denise Anderson is 640 Acr 3593, Palestine, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Denise Anderson |
|---|---|
| Address | 640 Acr 3593, Palestine, Texas |
| Phone Number | 9037291518 |
| Fax Number | 9033894237 |
| Sole Proprietor | Y |
| Credentials | SURGICAL A |
NPI Number Detail
| NPI Number | 1205903424 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 640 Acr 3593 |
|---|---|
| City | Palestine |
| State | Texas (TX) |
| Post Code | 75803 |
| Phone Number | 9037291518 |
| Fax Number | 9033894237 |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
| Licence No | SA00028 |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0067JR | TX | BCBS ID |
Post Comment/ Review Below
Could you please share the complete physical location address where Jacqueline Denise Anderson's facilities are situated?
The facilities of Jacqueline Denise Anderson are physically located at the following address: 640 Acr 3593, Palestine, TX, 75803.
What is Jacqueline Denise Anderson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacqueline Denise Anderson's area of specialization is Contractor, and the corresponding taxonomy code that categorizes this field of practice is 171W00000X.
What is Jacqueline Denise Anderson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacqueline Denise Anderson is Contractor, and the corresponding taxonomy classification code for this specialized field is 171W00000X.
On what date did the Jacqueline Denise Anderson receive the assignment of its 1205903424 from the Centers for Medicare & Medicaid Services?
The Jacqueline Denise Anderson was issued its 1205903424 by the Centers for Medicare & Medicaid Services on 2006-11-30.
When was the information regarding Jacqueline Denise Anderson most recently updated?
The details pertaining to the Jacqueline Denise Anderson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.