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Contact Information

KIRK L ANDERSON, MD
109 SHULT DR
#102
COLUMBUS, TX78934-3009
 Phone: 979-732-5794
 Fax: 979-732-9431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Personal Emergency Response Attendant

146D00000X
Indicates primary specialty

NPI Profile & details for KIRK L ANDERSON · (Male)

NPI # 1114951480
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 12/09/2009 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # F5818
  • TX Medicaid 126889804
  • TX Medicaid 1309494-02
  • TX Other 126889802 EPSDT
  • TX Other 010001278 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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