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NPI Code Detail

MEDICARE: MARSHALL ANDERSEN CRNA

MEDICARE: MARSHALL ANDERSEN CRNA
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
1367500000XCertified Registered Nurse AnesthetistAP128833TX
2367500000XCertified Registered Nurse Anesthetist203844ND

General Provider Information

NPI Number : 1013383009
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHALL ANDERSEN CRNA
Provider Business Mailing Address
First Line : PO BOX 650865
Second Line :
City : DALLAS
State : TX
Zip : 75265-0865
Country : US
Telephone Number : 972-715-5000
Fax Number : 972-715-9976
Provider Business Practice Location Address
First Line : 6606 LBJ FWY
Second Line : STE. 200
City : DALLAS
State : TX
Zip : 75240-6533
Country : US
Telephone Number : 972-715-5000
Fax Number : 972-715-9976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2015
Last Update Date : 12/23/2025

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Directions to “ MARSHALL ANDERSEN CRNA” Practice Location

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