MYRA L. ANDERSON M.D. – NPI #1255474466
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

MYRA ANDERSON is a physician located in LULING, LA. NPPES has assigned the NPI number 1255474466 to MYRA ANDERSON on February 15, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 19 years ago on Jul 09, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MYRA ANDERSON below.

NPI Profile for
MYRA L. ANDERSON

NPI Number
1255474466
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MYRA L. ANDERSON
Credentials
M.D.
Primary location
879 MILLING AVE
LULING, LA 70070-4442
Phone: (985) 785-2979 Fax: (985) 785-5051
Mailing address
40189 PELICAN POINT PKWY.
GONZALES, LA 70737-8501
Phone: (504) 491-3124 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
LA MD.06513R

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.