Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | K9480 | TX |
NPI | 1023030269 |
---|---|
Provider Name | Cathlyn Anderson |
First Address | Sugar Land, TX 77478-3892 |
Second Address | Sugar Land, TX 75075-4032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 14/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H30010 | (02) | TX |