MEDICARE: DR. JEFFERY HUGH ANDERSON D. C.

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	111N00000X	Chiropractor	2913	TX

General Provider Information

NPI Number	:	1700911609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFERY HUGH ANDERSON D. C.

Provider Business Mailing Address
First Line	:	10250 HIGHWAY 59 S
Second Line	:
City	:	SHEPHERD
State	:	TX
Zip	:	77371-6911
Country	:	US
Telephone Number	:	832-326-3426
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 COLDSPRING SQUARE
Second Line	:
City	:	COLDSPRING
State	:	TX
Zip	:	77331
Country	:	US
Telephone Number	:	936-653-4499
Fax Number	:

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

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	07/09/2007

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