Individual provider · Type 1 NPI
Casey L. Anderson, MD
Student in an Organized Health Care Education/Training Program · Southlake, TX
Practice location
415 E Southlake Blvd Ste 101
Southlake, TX 76092-6279
Fax (817) 421-8327
Mailing address
910 Madison Ave, Room 315
Memphis, TN 38163
Other practice locations
- 920 Madison Ave, Suite 447, Memphis, TN 38163 · (901) 448-1350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5 other providers at this address
- Alexandrea Hyunjee Kim, MDOtolaryngology Physician Southlake, TX NPI 1851920185
- Arvind ManisundaramPlastic and Reconstructive Surgery Physician Southlake, TX NPI 1801282132
- Grant Alexander Bond, MDPlastic and Reconstructive Surgery Physician Southlake, TX NPI 1669890943
- Jacob Carlson, MDSurgery Physician Southlake, TX NPI 1568881282
- Taylor Ann Chishom, MD MPHPlastic Surgery Physician Southlake, TX NPI 1912520669
Other student in an organized health care education/training program providers in Southlake
- Adam AbdelqaderStudent in an Organized Health Care Education/Training Program Southlake, TX NPI 1396542270
- Wyatt MarrStudent in an Organized Health Care Education/Training Program Southlake, TX NPI 1770490369
- Analise Maria HernandezStudent in an Organized Health Care Education/Training Program Southlake, TX NPI 1942173661
About NPI 1558617464
Casey L. Anderson, MD's National Provider Identifier is 1558617464, issued on Jul 29, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southlake, TX. The record was last updated on Jun 17, 2020.