IndividualActive
John Andersen, MD
NPI 1487616348 · Pediatric Gastroenterology Physician · Dallas, TX
Provider details
- NPI number
- 1487616348
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- E4989 (TX)
Mailing address
Po Box 845347
Dallas, TX 75284-5347
Registry dates
- Enumerated
- 2006-04-05
- Last updated
- 2008-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.