1. Home
  2. Directory
  3. Texas
  4. Katy
  5. Physician Assistant
  6. NPI Profile

ANDERSON SA LLC
NPI 1205442423
Physician Assistant - Surgical in Katy, TX

Active since September 22, 2020
18023 WILD WILLOW LN, KATY, TX 77449(936) 332-5917 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2021, Jan 4, 2021, Sep 22, 2020 (3 updates tracked since 2020).

About Anderson Sa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDERSON SA LLC (NPI 1205442423) is a healthcare organization registered as a surgical in Katy, Texas and active in the NPI registry since September 2020. The organization maintains a secondary practice location in Katy and lists Amanda Katheryn Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1205442423
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameANDERSON SA LLC
Location Address18023 WILD WILLOW LNKaty, TX 77449-4438
Mailing Address18023 Wild Willow LnKaty, TX 77449-4438
Phone(936) 332-5917
Organization SubpartNo
Authorized OfficialAmanda Katheryn AndersonOwner · (936) 332-5917
Enumeration DateSeptember 22, 2020
Last NPPES UpdateFebruary 3, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
✔ NPI 1205442423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
18023 WILD WILLOW LN, Katy, TX 77449
Open in Google Maps ↗

Secondary Practice Location 1

Location 123920 Katy Fwy Ste 200Katy, TX 77494-0881 · Phone (936) 332-5917

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA KATHERYN ANDERSON CSFA
Physician Assistant (Surgical)
18023 WILD WILLOW LN
KATY, TX 77449
Harris County (936) 332-5917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anderson Sa LLC's NPI number?

The NPI number for Anderson Sa LLC is 1205442423. It was assigned to this organization in the NPPES registry on September 22, 2020.

Where is Anderson Sa LLC located?

Anderson Sa LLC is located at 18023 Wild Willow Ln, Katy, TX 77449. The listed phone number is (936) 332-5917.

What is Anderson Sa LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Anderson Sa LLC was last updated on February 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.