| Doctor Name: | DR. C LYNN ANDERSON |
| NPI Number: | 1457452922 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | F6390 |
| Business Practice Address: | 3302 Boca Chica Blvd Ste 109 Brownsville, TX - 785214271 |
| Business Phone Number: | 9569821001 |
| Business Fax Number: | 9569821938 |
| Mailing Address: | 3302 Boca Chica Blvd Ste 109, BROWNSVILLE |
| State: | TX |
| Postal Code: | 785214271 |
| Phone Number: | 9569821001 |
| Fax Number: | 9569821938 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 05/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | F6390 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |