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NPI Code Detail

MEDICARE: MICHELLE ANSON MD PLLC

MEDICARE: MICHELLE ANSON MD PLLC
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
1207Q00000XFamily Medicine PhysicianL7962TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11316928575OTHERTXNPI INDIVIDUAL PRACTITIONERS

General Provider Information

NPI Number : 1538598537
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHELLE ANSON MD PLLC
Provider Business Mailing Address
First Line : 3403 MONT BLANC
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-1622
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21252 GATHERING OAK STE 100
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78260-3392
Country : US
Telephone Number : 210-920-2020
Fax Number : 210-334-0091
Authorized Official
Title or Position : OWNER
Name : MICHELLE ANSON
Credential : MD
Telephone Number : 210-846-3798
Provider Enumeration Date : 11/11/2013
Last Update Date : 11/05/2025

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