JEAN C ANDERSON

WAL-MART STORES TEXAS LLC

Dr JEAN C ANDERSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2011.

Contact

WAL-MART STORES TEXAS LLC

494 W INTERSTATE 30
WALMART CARE CLINIC 10 5987
ROYSE CITY
TX
751898557

Tel: 9726352186

JEAN C ANDERSON Information

Npi 1518242064
Pac Id 1557528817
Professional Enrollment Id I20151210000119
Last Name ANDERSON
First Name JEAN
Middle Name C
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WAL-MART STORES TEXAS LLC
Group Practice Pac Id 7719199165
Number Of Group Practice Members 31
Line 1 Street Address 494 W INTERSTATE 30
Line 2 Street Address WALMART CARE CLINIC 10 5987
Marker Of Address Line 2 Suppression
City ROYSE CITY
State TX
Zip Code 751898557
Phone Number 9726352186
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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