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

Tyler Douglas Anderson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407464811

Tyler Douglas Anderson is a Student in an Organized Health Care Education/Training Program in Dallas, Texas. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-9003
Phone: (214) 648-3111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1407464811
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 21, 2020
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020
Mailing address5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-9003

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