MEDICARE: DR. C NEVIN ANDERSON JR. 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	207Q00000X	Family Medicine Physician	E0785	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8G6950	OTHER		BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1073710828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. C NEVIN ANDERSON JR. MD

Provider Business Mailing Address
First Line	:	601 E SAN ANTONIO ST STE 203W
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77901-6051
Country	:	US
Telephone Number	:	361-573-6371
Fax Number	:	361-573-7961

Provider Business Practice Location Address
First Line	:	601 E SAN ANTONIO ST STE 203W
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77901-6051
Country	:	US
Telephone Number	:	361-573-6371
Fax Number	:	361-573-7961

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

Provider Enumeration Date	:	06/27/2007
Last Update Date	:	08/26/2020

Similar Medicare Providers

1962149963 — HARNEET KAUR MD
Practice Location Address:

601 E SAN ANTONIO ST STE 102W
VICTORIA, TX
77901-6051

Practice Phone: 361-582-0185
Practice Fax:

1902363831 — JARED D NIELSON FNP-C
Practice Location Address:

2705 HOSPITAL DR STE 402
VICTORIA, TX
77901-5777

Practice Phone: 361-582-7965
Practice Fax:

1417894544 — GROVERS EMERGENCY MEDICINE ASSOCIATES, PA
Practice Location Address:

506 E SAN ANTONIO ST
VICTORIA, TX
77901-6060

Practice Phone: 361-575-7441
Practice Fax:

1851238984 — GROVERS PHYSICIAN SERVICES, PA
Practice Location Address:

506 E SAN ANTONIO ST
VICTORIA, TX
77901-6060

Practice Phone: 361-575-7441
Practice Fax:

1487599379 — BOUGIE AND BEAUTIFIED LUXURY MED SPA AND PRIMARY CARE SERVICES PLLC
Practice Location Address:

1902 JOHN STOCKBAUER DR STE 300
VICTORIA, TX
77901-3797

Practice Phone: 361-308-9311
Practice Fax: 844-483-1957

1770428690 — THANH TAM ANN NGUYEN
Practice Location Address:

1501 N NAVARRO ST
VICTORIA, TX
77901-6048

Practice Phone: 361-489-2440
Practice Fax:

Directions to “ DR. C NEVIN ANDERSON JR. MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.