MEDICARE: DANIEL M 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	207W00000X	Ophthalmology Physician	R2039	TX

General Provider Information

NPI Number	:	1598925588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL M ANDERSON MD

Provider Business Mailing Address
First Line	:	21502 MERCHANTS WAY
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-2517
Country	:	US
Telephone Number	:	281-944-2232
Fax Number	:	281-944-2290

Provider Business Practice Location Address
First Line	:	3929 WOODSONS RESERVE PKWY
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-4973
Country	:	US
Telephone Number	:	346-423-6443
Fax Number	:	346-423-6449

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

Provider Enumeration Date	:	06/12/2008
Last Update Date	:	10/16/2024

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