Healthcare Provider Details

I. General information

NPI: 1952559742
Provider Name (Legal Business Name): JULIA ANN ANDERSON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 BUNNY TRL
KILLEEN TX
76549-6930
US

IV. Provider business mailing address

5200 BUNNY TRL
KILLEEN TX
76549-6930
US

V. Phone/Fax

Practice location:
  • Phone: 254-553-8124
  • Fax: 254-554-0936
Mailing address:
  • Phone: 254-553-8111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA06204
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: