MEDICARE: MATTHEW ALLEN ANDERSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	M6017	TX
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	M6017	TX
3	207RP1001X	Pulmonary Disease Physician	M6017	TX

General Provider Information

NPI Number	:	1023221959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW ALLEN ANDERSON MD

Provider Business Mailing Address
First Line	:	4513 COLORADO XING
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4530
Country	:	US
Telephone Number	:	972-834-7888
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 W PARMER LN
Second Line	:	SUITE 106
City	:	AUSTIN
State	:	TX
Zip	:	78727-4107
Country	:	US
Telephone Number	:	512-977-0123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	10/24/2016

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Directions to “ MATTHEW ALLEN ANDERSON MD” Practice Location

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