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

Dr. Casey L Anderson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558617464

Dr. Casey L Anderson, MD is a Student in an Organized Health Care Education/Training Program in Southlake, Texas. Works from 2 locations. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

415 E Southlake Blvd Ste 101
Southlake, TX 76092-6279
Phone: (817) 416-8080
Fax: (817) 421-8327
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 920 Madison Ave, Memphis, TN 38163 — (901) 448-1350

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1558617464
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2012
Last updated in NPPESJune 17, 2020
Certification dateJune 17, 2020
Mailing address910 Madison Ave, Room 315, Memphis, TN 38163

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