MEDICARE: MR. JOSHUA WAYNE ANDERSON M.S.

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	106H00000X	Marriage & Family Therapist	1390	OK

General Provider Information

NPI Number	:	1093235806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSHUA WAYNE ANDERSON M.S.

Provider Business Mailing Address
First Line	:	608 E MILAM ST
Second Line	:
City	:	BEEVILLE
State	:	TX
Zip	:	78102-6040
Country	:	US
Telephone Number	:	361-621-5103
Fax Number	:	833-520-1508

Provider Business Practice Location Address
First Line	:	608 E MILAM ST
Second Line	:
City	:	BEEVILLE
State	:	TX
Zip	:	78102-6040
Country	:	US
Telephone Number	:	361-621-5103
Fax Number	:	833-520-1508

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

Provider Enumeration Date	:	06/22/2017
Last Update Date	:	05/27/2026

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