Dr. Kirk Logan Anderson
Family Doctor Family Doctor - Geriatric Medicine
109 Shult Dr #102
Columbus
, Texas 78934-3009
Dr. Kirk Logan Anderson
Family Doctor Family Doctor - Geriatric Medicine
109 Shult Dr #102
Columbus
, Texas 78934-3009
(979) 732-9431
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Kirk Logan Anderson
- 109 Shult Dr #102
- Columbus, TX
- Zip : 78934-3009
- Fax : (979) 732-9431
- Phone : (979) 732-5794
Second Address
- Dr. Kirk Logan Anderson
- 109 Shult Dr #102
- Columbus, TX
- Zip : 78934-3009
- Fax : (979) 732-9431
- Phone : (979) 732-5794
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | F5818 | TX |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | F5818 | TX |
National Provider Identifier
| NPI | 1114951480 |
|---|---|
| Provider Name | Dr. Kirk Logan Anderson |
| First Address | Columbus, TX 78934-3009 |
| Second Address | Columbus, TX 78934-3009 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 09/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010001278 | RAILROAD MEDICARE (01) | TX |
| 126889802 | EPSDT (01) | TX |
| 126889804 | (05) | TX |
| 1309494-02 | (05) | TX |
| C12841 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.