Tex W Anderson JR., TRADITIONAL PRACTITI
NPI #1811280704 in Crownpoint, New Mexico
Provider Information
- NPI Number
- 1811280704
- Entity Type
- Individual
- Name
- Tex W Anderson JR., TRADITIONAL PRACTITI
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- TRADITIONAL PRACTITI
- Enumeration Date
- May 25, 2011
- Last Updated
- Jul 31, 2019
Practice Location
- Address
- 2314 SOUTHWEST HIGHLAND DRIVE
- City
- Crownpoint
- State
- New Mexico
- ZIP Code
- 87313
- Phone
- (505) 786-2111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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