Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHAN WALLACE ANDERSON, MD
ActiveNATHAN WALLACE ANDERSON, MD is a Family Medicine healthcare provider located in LA GRANGE, Texas. NPI 1386078715 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LA GRANGE, TX
Registration Details
- NPI Number
- 1386078715
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2013 (12.798402746421 yrs)
- Last Updated
- Jun 2, 2025
- Licenses
-
MD60866922 (WA)T1634 (TX)
Practice Information
- Address
-
1253 N VON MINDEN STLA GRANGE, TX, 789451262Browse TX providers · Browse ZIP 78945
- Phone
- 9799688493
- Fax
- 9799686388
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LA GRANGE, TX
| Name | Credential | NPI |
|---|---|---|
| DR. WESS JAMES BLACKWELL | M.D. | 1780679662 |
| DR. RICHARD HARTIN JR. | MD | 1023070687 |
| HANS JAMES RAJ | MD | 1205909074 |
| DR. THOMAS O BORGSTEDTE | D.O. | 1295877264 |
| DR. WILLIAM M MCBROOM | M.D. | 1407998461 |
| KINUYO HENDERSON | DO | 1265843874 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.