MEDICARE: DR. JUDITH DEANE ANDERSON M.D.

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	2080N0001X	Neonatal-Perinatal Medicine Physician	DR.0076209	CO

General Provider Information

NPI Number	:	1649236605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDITH DEANE ANDERSON M.D.

Provider Business Mailing Address
First Line	:	1121 E SPRING CREEK PKWY
Second Line	:	STE. 110, #319
City	:	PLANO
State	:	TX
Zip	:	75074
Country	:	US
Telephone Number	:	214-343-6663
Fax Number	:	214-343-2814

Provider Business Practice Location Address
First Line	:	1105 CENTRAL EXPY N
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-6103
Country	:	US
Telephone Number	:	972-747-1000
Fax Number	:

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

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	09/03/2025

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