Mr. Wesley Dale Anderson - NPI: 1003961095
National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.
| Doctor Name: | MR. WESLEY DALE ANDERSON |
| NPI Number: | 1003961095 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.S.A. |
| License Number: | SA00001 |
| Business Practice Address: | 4384 N Cypress Ave
Odessa, TX - 797649376 |
| Business Phone Number: | 4323857979 |
| Business Fax Number: | 4323857979 |
| Mailing Address: | 4384 N Cypress Ave,
ODESSA |
| State: | TX |
| Postal Code: | 797649376 |
| Phone Number: | 4323857979 |
| Fax Number: | 4323857979 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
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Taxonomy Information: |
| Healthcare Provider Taxonomy: | 246ZS0410X |
| License Number: | SA00001 |
Healthcare Provider Taxonomy:
(Secondary) | Y |
| State: | TX |
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