CARROL L ANDERSON JR. (NPI# 1457452922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457452922 |
| Entity Type | Individual |
| Full Name | CARROL L ANDERSON JR. |
| Credential | M.D. |
| Practice Address |
3302 Boca Chica Blvd Ste 109 Brownsville TX 78521-4271 |
| Practice Telephone | 9569821001 |
| Practice Fax Number | 9569821938 |
| Mailing Telephone | 9569821001 |
| Mailing Fax Number | 9569821938 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2017-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | F6390 | TX | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | F6390 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID GROUP NUMBER | 172803201 | 01 |
| TX | MEDICAID TEXAS HEALTH STEPS NUMBER | 172803202 | 01 |
| TX | 140145728 | 05 | |
| TX | MEDICARE GROUP NUMBER | 00345Y | 01 |
| Street Address |
3302 BOCA CHICA BLVD STE 109 |
| City | BROWNSVILLE |
| State | TX |
| Zip Code | 78521-4271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396967659 | C.l. Anderson, Jr., M.d., Pllc | Family Medicine | 3302 Boca Chica Blvd Ste 109, Brownsville, TX 78521 | 2007-05-03 |
| 1942362397 | Luis Humberto Tamez | Physician Assistant | 3302 Boca Chica Blvd Ste 109, Brownsville, TX 78521-4271 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811401 | D&r Medical Supplies | Durable Medical Equipment & Medical Supplies | 1805 Ruben M. Torrez Ste. C1, Brownsville, TX 78521 | 2020-08-10 |
| 1467085829 | Ariel Ann Cruz | Pharmacist | 2950 Souhmost Rd, Brownsville, TX 78521 | 2020-02-13 |
| 1659901908 | Luis Villarreal | Music Therapist | 1786 Coffee Rd, Brownsville, TX 78521 | 2020-01-24 |
| 1356999361 | Ambrose Eternity Home Services, LLC. | Technician | 3505 Boca Chica Blvd., Ste. 205, Brownsville, TX 78521 | 2019-09-03 |
| 1578128641 | South Texas Lymphedema Care LLC | Occupational Therapist | 35 Casa De Palmas, Brownsville, TX 78521 | 2019-05-04 |
| 1649752262 | Cristina Morales | Specialist/Technologist | 4430 E. 14th St. Unit E, Brownsville, TX 78521 | 2018-08-30 |
| 1831679182 | Josue Peralez | Occupational Therapy Assistant | 4430 E 14th St Unit E Brownsville, Tx 78521, Brownsville, TX 78521 | 2018-08-16 |
| 1386138170 | Chang Joo Lee | Dentist | 2950 Southmost Blvd, Suite 103, Brownsville, TX 78521 | 2018-06-15 |
| 1053822676 | Brownsville Adult and Pediatric Clinic | Nurse Practitioner | 3510 Southmost Road, Suite C, Brownsville, TX 78521 | 2017-10-23 |
| 1174041032 | Stephanie Hernandez | Specialist/Technologist | 532 Fresa, Brownsville, TX 78521 | 2017-08-31 |
| Find all providers in zip 78521 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134759145 | Corina Alfaro Salinas | Family Medicine | 5712 Heron Cv, Brownsville, TX 78526-5126 | 2020-01-17 |
| 1811527054 | Truhealth Family Clinic, Pllc | Family Medicine | 10 Providencia Ct Ste 3, Brownsville, TX 78526-7453 | 2020-01-15 |
| 1669960514 | Ronald Ernest Fryer | Family Medicine | 5216 N Expressway # 83, Brownsville, TX 78526-4059 | 2018-04-26 |
| 1174978233 | Misael Tollen Irizarry | Family Medicine | 275 E Morrison Rd Ste 1, Brownsville, TX 78526 | 2016-04-26 |
| 1003234527 | Mi Doctorcito House Calls, Pllc | Family Medicine | 2525 Village Dr, Brownsville, TX 78521-1433 | 2014-04-01 |
| 1275807091 | Philip Amitraj Roberts | Family Medicine | 1718 Coffee Port Rd, Brownsville, TX 78521-1625 | 2012-02-24 |
| 1790067965 | Family Care Specialists, LLC | Family Medicine | 814 N Expressway #77, Suite 5, Brownsville, TX 78521-1422 | 2011-09-14 |
| 1386958858 | Jose Natividad Perez Enriquez | Family Medicine | 58 E Price Rd, Brownsville, TX 78521-3508 | 2010-07-27 |
| 1194960633 | Family Care Specialists | Family Medicine | 1643 E Los Ebanos Blvd, Brownsville, TX 78520-8541 | 2008-12-12 |
| 1881882280 | Luis H Robles Md Pa | Family Medicine | 130 Up Town Ave, Brownsville, TX 78520-7568 | 2007-10-10 |
| Find all providers in BROWNSVILLE | ||||
| City | BROWNSVILLE |
| Zip Code | 78521 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.