Healthcare Provider Details

I. General information

NPI: 1194353029
Provider Name (Legal Business Name): KARL MAESER ANDERSEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4337 TERAVISTA CLUB DR STE 100
ROUND ROCK TX
78665-1647
US

IV. Provider business mailing address

4337 TERAVISTA CLUB DR STE 100
ROUND ROCK TX
78665-1647
US

V. Phone/Fax

Practice location:
  • Phone: 512-244-7200
  • Fax:
Mailing address:
  • Phone: 512-244-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License NumberV6258
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: