Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelle Anderson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801456728

Angelle Anderson, MD is a Family Practice in Dallas, Texas. Graduated from Meharry Medical College School of Medicine in 2019, 7 years ago. Practices with Grace Southern Medical Clinic PLLC, a 4-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
7
Trained at
Meharry Medical College School of Medicine
Licensed in
TX
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6300 Samuell Blvd
Dallas, TX 75228-7137
Phone: (214) 381-1910
Fax: (214) 381-2868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1605 N Garland Ave, Garland, TX 75040-9417 — (469) 609-7483

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence U3461 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801456728
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2019
Last updated in NPPESDecember 7, 2024
Certification dateDecember 7, 2024
Mailing address6300 Samuell Blvd Ste 120, Dallas, TX 75228-7100

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Grace Southern Medical Clinic Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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