MEDICARE: WILLIAM A ANDERSON MD

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	F9137	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487694220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM A ANDERSON MD

Provider Business Mailing Address
First Line	:	800 8TH AVENUE
Second Line	:	SUITE 510
City	:	FORT WORTH
State	:	TX
Zip	:	76104
Country	:	US
Telephone Number	:	817-334-9080
Fax Number	:	817-334-0989

Provider Business Practice Location Address
First Line	:	800 8TH AVE
Second Line	:	SUITE 510
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2601
Country	:	US
Telephone Number	:	817-334-9080
Fax Number	:	817-334-0989

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	02/12/2013

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Directions to “ WILLIAM A ANDERSON MD” Practice Location

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