Individual provider · Type 1 NPI

Clark Calvin Anderson, MD

Student in an Organized Health Care Education/Training Program · San Antonio, TX

NPI number 1104485770 Active

Practice location

4502 Medical Dr
San Antonio, TX 78229

Call (920) 460-8927 Map

Mailing address

9666 Criswell Crk
San Antonio, TX 78251-3537

Other practice locations

  • 1 Medical Center Blvd, Winston Salem, NC 27157-0001 · (336) 716-2011
  • 210 Medical Park Blvd Ste 100, Petersburg, VA 23805-9348 · (804) 765-5850

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNONE (NC)
Internal Medicine Physician 207R00000X0101281056 (VA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

1,697 other providers at this address

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About NPI 1104485770

Clark Calvin Anderson, MD's National Provider Identifier is 1104485770, issued on Jun 7, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Antonio, TX. The record was last updated on Jun 25, 2024.