Individual
CLINT KELLEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9179 GRISSOM RD STE 101, SAN ANTONIO, TX 78251-2810
(210) 680-8081
(210) 680-3179
Mailing address
9179 GRISSOM RD STE 101, SAN ANTONIO, TX 78251-2810
(210) 680-8081
(210) 680-3179
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S2217
TX
Other
Enumeration date
06/01/2016
Last updated
03/15/2022
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