MEDICARE: RICHARD 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	207R00000X	Internal Medicine Physician	E2441	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4521803	OTHER	TX	AETNA
2	122977	OTHER	TX	SUPERIOR HEALTH/CHIPS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	752616977035	OTHER	TX	TRICARE
5	83Y722	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1588634257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD A. ANDERSON MD

Provider Business Mailing Address
First Line	:	PO BOX 846098
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-6098
Country	:	US
Telephone Number	:	903-324-6450
Fax Number	:	903-593-7852

Provider Business Practice Location Address
First Line	:	520 DOUGLAS BLVD
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75702-8307
Country	:	US
Telephone Number	:	903-510-8777
Fax Number	:	903-535-9922

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

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	11/24/2014

Similar Medicare Providers

1679300867 — DR. KATARZYNA GRAZYNA WILCZEWSKA PSY.D.
Practice Location Address:

520 DOUGLAS BLVD
TYLER, TX
75702-8307

Practice Phone: 903-606-1721
Practice Fax: 903-592-5618

1770157075 — ZACHARY C SAWYER LCSW, LCDC
Practice Location Address:

520 DOUGLAS BLVD
TYLER, TX
75702-8307

Practice Phone: 903-606-6401
Practice Fax:

1205606845 — MARIA ROCIO CRISS-LAMPTON LCSW
Practice Location Address:

520 E DOUGLAS BLVD
TYLER, TX
75702-8307

Practice Phone: 903-606-1721
Practice Fax:

1679355937 — PAIGE TALBERT
Practice Location Address:

520 DOUGLAS BLVD
TYLER, TX
75702-8307

Practice Phone: 903-606-1721
Practice Fax: 903-592-5618

1316917750 — DAVID H BEAIRD MD
Practice Location Address:

520 E DOUGLAS BLVD
TYLER, TX
75702-8307

Practice Phone: 903-593-1721
Practice Fax: 903-510-1143

1619940442 — DR. DOUGLAS C COLTMAN MD
Practice Location Address:

520 E DOUGLAS BLVD
TYLER, TX
75702-8307

Practice Phone: 903-593-1721
Practice Fax:

Directions to “ RICHARD A. ANDERSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.