SUSAN GARZA ANDERSON MD NPI 1114927118

NPI Information

NPI: 1114927118
Provider Name: SUSAN GARZA ANDERSON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1311 WESTMONT CT
SOUTHLAKE, TX
ZIP 76092
Phone: (214) 458-1483
Get Directions

Susan Garza Anderson, MD is a family medicine in Southlake, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Susan Garza Anderson, MD NPI is 1114927118. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1311 WESTMONT CT
SOUTHLAKE, TX
ZIP 76092-814
Phone: (214) 458-1483

The NPI 1114927118 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2005 and was last updated on 1/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		K6461	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	131144114	MEDICAID	TEXAS
2	131144113	MEDICAID	TEXAS
3	G88276	MEDICARE UPIN	TEXAS
4	8A9030	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	D62C
5	131144118	MEDICAID	TEXAS
6	131144120	MEDICAID	TEXAS
7	8A0122	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
8	131144119	MEDICAID	TEXAS
9	TXB123733	MEDICARE PIN	TEXAS
10	8G4495	MEDICARE PIN	TEXAS
11	131144116	MEDICAID	TEXAS
12	131144110	MEDICAID	TEXAS
13	131144115	MEDICAID	TEXAS
14	131144121	MEDICAID	TEXAS
15	131144122	MEDICAID	TEXAS
16	131144109	MEDICAID	TEXAS
17	131144112	MEDICAID	TEXAS
18	179236801	MEDICAID	TEXAS
19	P00378885	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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