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NPI Code Detail

MEDICARE: ERROL CLAUDE ANDERSON M.D.

MEDICARE: ERROL CLAUDE 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
12085R0204XVascular & Interventional Radiology PhysicianF9135TX

Other Identifiers

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

General Provider Information

NPI Number : 1932101680
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERROL CLAUDE ANDERSON M.D.
Provider Business Mailing Address
First Line : PO BOX 2129
Second Line :
City : ODESSA
State : TX
Zip : 79760-2129
Country : US
Telephone Number : 432-640-2401
Fax Number : 432-640-4606
Provider Business Practice Location Address
First Line : 500 W 4TH ST
Second Line :
City : ODESSA
State : TX
Zip : 79761-5001
Country : US
Telephone Number : 432-640-1273
Fax Number : 432-640-4606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 01/10/2013

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Directions to “ ERROL CLAUDE ANDERSON M.D.” Practice Location

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