Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Anthony Anderson, P.A.
Physician Assistant in Tyler, TX · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1508901596
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Registry record
Entity type Individual (Type 1)
Name Anthony Anderson
Credential P.A.
Sex Male
Practice address 1327 Troup Hwy, Suite 600, Tyler, TX, 75701
Phone (903) 510-8840
Fax (903) 510-1121
Enumeration date Feb 20, 2007
Last updated in NPPES Feb 20, 2017
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA02057 (TX) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA02057 | Other | TX | TEXAS STATE LICENSE |
| P01572426 | Other | TX | RAIL ROAD MEDICARE |
| 75-2616977-028 | Other | TX | TRICARE |
| 1508901596 | Medicaid | TX | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Anthony Anderson?
Anthony Anderson is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-20.