Provider Demographics
NPI:1881885069
Name:ANDERSON, JESSICA BROOKS (MD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:BROOKS
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2255 E MOSSY OAKS RD STE 680
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-1812
Mailing Address - Country:US
Mailing Address - Phone:281-537-0300
Mailing Address - Fax:281-537-0315
Practice Address - Street 1:2255 E MOSSY OAKS RD STE 680
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-1812
Practice Address - Country:US
Practice Address - Phone:281-537-0300
Practice Address - Fax:281-537-3015
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM8492207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L10726Medicare PIN