ANDERSON SA LLC NPI 1205442423

NPI Information

NPI: 1205442423
Provider Name: ANDERSON SA LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
18023 WILD WILLOW LN
KATY, TX
ZIP 77449
Phone: (936) 332-5917
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ANDERSON SA LLC is a surgical physician assistant in Katy, TX. ANDERSON SA LLC NPI is 1205442423. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18023 WILD WILLOW LN
KATY, TX
ZIP 77449-438
Phone: (936) 332-5917

The provider's authorized official is Amanda Katheryn Anderson .
The authorized official title is Owner and has the following contact phone number (936) 332-5917.

The enumeration date for this NPI number is 9/22/2020 and was last updated on 2/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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