MEDICARE: JOSEPH ANDERSON

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	237700000X	Hearing Instrument Specialist	81020	TX

General Provider Information

NPI Number	:	1477270874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH ANDERSON

Provider Business Mailing Address
First Line	:	750 N COMMONS DR STE 200
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-7940
Country	:	US
Telephone Number	:	630-303-5380
Fax Number	:	630-303-5385

Provider Business Practice Location Address
First Line	:	3023 THOUSAND OAKS DR STE 105
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-3557
Country	:	US
Telephone Number	:	210-494-2525
Fax Number	:	210-494-2525

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

Provider Enumeration Date	:	10/26/2022
Last Update Date	:	10/26/2022

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Directions to “ JOSEPH ANDERSON ” Practice Location

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