Provider Demographics
NPI:1427498070
Name:A.SCOTT ANDERSON CLINICAL SERVICES, PLLC
Entity type:Organization
Organization Name:A.SCOTT ANDERSON CLINICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-977-5492
Mailing Address - Street 1:114 N WASHINGTON ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:KAUFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75142-2066
Mailing Address - Country:US
Mailing Address - Phone:972-977-5492
Mailing Address - Fax:972-452-3153
Practice Address - Street 1:114 N WASHINGTON ST
Practice Address - Street 2:SUITE D
Practice Address - City:KAUFMAN
Practice Address - State:TX
Practice Address - Zip Code:75142-2066
Practice Address - Country:US
Practice Address - Phone:972-977-5492
Practice Address - Fax:972-452-3153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty