MEDICARE: DR. NORMA J ANDERSON D.O.

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	2084P0800X	Psychiatry Physician	K7646	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831214733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMA J ANDERSON D.O.

Provider Business Mailing Address
First Line	:	PO BOX 2326
Second Line	:
City	:	BOERNE
State	:	TX
Zip	:	78006-6326
Country	:	US
Telephone Number	:	210-842-9977
Fax Number	:

Provider Business Practice Location Address
First Line	:	1975 BABCOCK RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4584
Country	:	US
Telephone Number	:	210-842-9977
Fax Number	:

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	03/05/2015

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