Mark R Anderson in Tyler - Emergency Medicine

Mark R Anderson - NPI 1346289055

Mark R Anderson is a Emergency Medicine in Tyler, Texas. Mark R Anderson practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Mark R Anderson is 1346289055. The last update date is 2015-07-10.

Mark R Anderson's current location address is 800 E Dawson St, Tyler, Texas. You can contact this provider via phone number 9035938441. The mailing address for Mark R Anderson is 800 E Dawson St, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark R Anderson
Address 800 E Dawson St, Tyler, Texas
Phone Number 9035938441
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1346289055
Provider Enumeration Date 2006-06-06
Last Updated Date 2015-07-10

Provider Mailing Address Detail

Address 800 E Dawson St
City Tyler
State Texas (TX)
Post Code 757012036
Phone Number 9035938441
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No J0423
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
130578109 TX --
75-0818167-048 TX TRICARE
8L1047 TX BCBS
750818167-044 TX TRICARE
15 TX TRICARE
P01464103 TX RAIL ROAD MEDICARE
130578103 TX --
75-2616977-001 TX TRICARE
75-2616977-028 TX TRICARE
8DQ330 TX BCBS

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FAQs about Mark R Anderson

What is the unique 10-digit identifier code assigned to Mark R Anderson by the Centers for Medicare & Medicaid Services?

The Mark R Anderson has been issued the NPI (National Provider Identifier) 1346289055 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Mark R Anderson is physically located?

The Mark R Anderson is physically situated at the following address: 800 E Dawson St, Tyler, TX, 757012036.

What is Mark R Anderson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mark R Anderson's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.

On what date did Mark R Anderson receive its 1346289055 assignment from the Centers for Medicare & Medicaid Services?

The Mark R Anderson was assigned its 1346289055 on 2006-06-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Mark R Anderson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mark R Anderson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-07-10.

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