Individual
CLARK CALVIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229
(920) 460-8927
Mailing address
9666 CRISWELL CRK, SAN ANTONIO, TX 78251-3537
(920) 460-8927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101281056
VA
207R00000X
Internal Medicine Physician
NONE
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
06/25/2024
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