MEDICARE: ANNA NELSON M.D.

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	208000000X	Pediatrics Physician	K4753	TX

General Provider Information

NPI Number	:	1841677341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA NELSON M.D.

Provider Business Mailing Address
First Line	:	3125 MATLOCK RD
Second Line	:	SUITE 108
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2920
Country	:	US
Telephone Number	:	817-468-3911
Fax Number	:

Provider Business Practice Location Address
First Line	:	3125 MATLOCK RD
Second Line	:	SUITE 108
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2920
Country	:	US
Telephone Number	:	817-468-3911
Fax Number	:

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

Provider Enumeration Date	:	05/04/2015
Last Update Date	:	05/04/2015

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Directions to “ ANNA NELSON M.D.” Practice Location

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