Doctor Name: | MR. THOMAS S ANDERSON |
NPI Number: | 1710071626 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BSC,RVS,RCS |
License Number: | 35300 |
Business Practice Address: | 1906 Redbud Dr Rockdale, TX - 765672550 |
Business Phone Number: | 4322449007 |
Business Fax Number: | |
Mailing Address: | 1906 Redbud Dr, ROCKDALE |
State: | TX |
Postal Code: | 765672550 |
Phone Number: | 4322449007 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XS1301X |
License Number: | 35300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |