NPI 1528029063 · live from the CMS NPI Registry
Kent Lowell Anderson, M.D., Ph.D.
Ophthalmology in San Antonio, TX. National Provider Identifier 1528029063, active.
NPI record
| NPI | 1528029063 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 701 S Zarzamora St, San Antonio, TX 78207 |
| Practice phone | 210-358-7600 |
| Mailing address | 7703 Floyd Curl Dr, Apc 7, San Antonio, TX 78229 |
| Enumerated | March 31, 2006 |
| Last updated | August 24, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | M5024 (TX) |
| Ophthalmology | 207W00000X | MD11210 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.