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Contact Information

TEX W ANDERSON JR, TRADITIONAL PRACTITI
2314 SOUTHWEST HIGHLAND DRIVE
CROWNPOINT, NM87313
 Phone: 505-786-2111
 Fax: 505-786-2020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for TEX W ANDERSON JR · (Male)

NPI # 1811280704
Status Active
Credentials TRADITIONAL PRACTITI
Entity Individual
Enumeration date 05/25/2011
Last updated 07/31/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NM Other 860092335 BEHAVIORAL HEALTH SERVICE
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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