Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. William David Anderson Jr., MS, ATC, LAT

Individual provider Athletic Trainer · NPI 1033129416

Mr. William David Anderson Jr., MS, ATC, LAT is an Athletic Trainer in Kilgore, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1100 Broadway Blvd
Kilgore, TX 75662-3204
Phone: (903) 983-8628
Fax: (903) 988-7445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT2746 (TX)

Record details

NPI number1033129416
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , LAT
Sole proprietorYes
NPI enumeratedAugust 9, 2006
Last updated in NPPESOctober 24, 2012

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