| Doctor Name: | REBECCA ANDERSON |
| NPI Number: | 1063552792 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 653066 |
| Business Practice Address: | 7599 Garth Rd Suite 600 Baytown, TX - 775217718 |
| Business Phone Number: | 2814226678 |
| Business Fax Number: | |
| Mailing Address: | Po Box 841969, DALLAS |
| State: | TX |
| Postal Code: | 752841969 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 10/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 653066 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |