Individual
ANTHONY T. CLAVO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10400 N. CENTRAL EXPRESSWAY, DALLAS, TX 75231
(214) 972-2427
(415) 795-4434
Mailing address
P.O. BOX 801475, DALLAS, TX 75380
(404) 354-0153
(770) 632-3731
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
J8962
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
J8962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G72848
MEDICARE UPIN
TX
Enumeration date
01/25/2007
Last updated
08/24/2023
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