Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHATAE ANDERSON
Active Sole ProprietorSHATAE ANDERSON is a Prosthetic/Orthotic Supplier healthcare provider located in BEDFORD, Texas. NPI 1942970421 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · BEDFORD, TX
Registration Details
- NPI Number
- 1942970421
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2021 (4.9316656221258 yrs)
- Last Updated
- Sep 23, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
805 CENTRAL DR APT 174BEDFORD, TX, 760227806Browse TX providers · Browse ZIP 76022
- Phone
- 8178236370
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
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.