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NPI Code Detail

MEDICARE: ELI THEODORE ANDERSON M.D.

MEDICARE: ELI THEODORE ANDERSON 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
12084P0800XPsychiatry PhysicianE6214TX

General Provider Information

NPI Number : 1053342634
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELI THEODORE ANDERSON M.D.
Provider Business Mailing Address
First Line : 5500 GUHN RD
Second Line :
City : HOUSTON
State : TX
Zip : 77040-6161
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5500 GUHN RD
Second Line :
City : HOUSTON
State : TX
Zip : 77040-6161
Country : US
Telephone Number : 713-783-8889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 09/28/2025

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Directions to “ ELI THEODORE ANDERSON M.D.” Practice Location

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