● Active Type 1 · Individual

DR. Casey L Anderson, M.D.

Student in an Organized Health Care Education/Training Program·Southlake, TX· NPI 1558617464 · Enumerated 2012 · 13 years on NPI

Anderson is 1 of 4 student in an organized health care education/training program providers in Southlake and 1 of 17977 in Texas.

NPI age

13 years

Enumerated 2012-07-29

Primary specialty

Student in an Organized Health Care Education/Training Program

Licensed in

—

0 states

Status

Active

No deactivations on record

Last NPPES update

2020-06-17

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 17977 active student in an organized health care education/training program providers in Texas.

NPI age

13 years

↑ 11 yr above median (2 yr)

State licenses

1 state

0% of peers hold multiple states

Subspecialties

6% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-07Enumerated in NPPES

2012 2026

Where they practice

Practice location

415 E Southlake Blvd Ste 101

Southlake, TX 760926279

📞 8174168080fax 8174218327

Mailing address

910 Madison Ave, Room 315

Memphis, TN 38163

📞 9014481350

Additional practice locations

1 secondary location on file with NPPES.

Location 2

920 Madison Ave, Suite 447

Memphis, TN 38163

📞 9014481350

Specialties

Student, Health Care › Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program Primary

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

taxonomy 390200000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.