Clint Kelley Anderson (NPI# 1588012447, PAC ID# 8628369931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1588012447 |
| PAC ID by PECOS | 8628369931 |
| Professional Enrollment ID | I20190708002805 |
| Full Name | Clint Kelley Anderson |
| Organization Legal Name | FAMILY MEDICAL HOME PLLC |
| Address |
9410 Dugas Dr Suite 104 San Antonio TX 78245-1002 |
| Phone Number | 2106808081 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3274780127 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450237 | CHRISTUS SANTA ROSA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9179 Grissom Rd, Suite 101, San Antonio, TX 78251-2810 | 2106808081 | FAMILY MEDICAL HOME PLLC |
| 9410 Dugas Dr, Suite 104, San Antonio, TX 78245-1002 | 2106808081 | FAMILY MEDICAL HOME PLLC |
| Organization Legal Name | FAMILY MEDICAL HOME PLLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheila Renee Pinkston | Family Medicine | Family Medical Home Pllc | 9179 Grissom Rd, Suite 101, San Antonio, TX 78251-2810 |
| Jesus A Rodriguez | Family Medicine | Family Medical Home Pllc | 9179 Grissom Rd, Suite 101, San Antonio, TX 78251-2810 |
| Alessandro Valverde | Family Medicine | Family Medical Home Pllc | 9179 Grissom Rd, Suite 101, San Antonio, TX 78251-2810 |
| Marcy E Youngdahl | Family Practice | Family Medical Home Pllc | 9179 Grissom Rd, Suite 101, San Antonio, TX 78251-2810 |
| Street Address |
9410 DUGAS DR SUITE 104 |
| City | SAN ANTONIO |
| State | TX |
| Zip | 78245-1002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edmundo O Garcia | Family Medicine | 9673 Marbach Rd, San Antonio, TX 78245-1821 | |
| Ramon Rosales Jr. | Chiropractic | 9107 Marbach Rd, Suite 150, San Antonio, TX 78245-1832 | |
| Karen Louise Dam | Optometry | Dk Eyecare, P.C. | 8923 W Military Dr, Suite 109, San Antonio, TX 78245-2102 |
| Ninh Manh Dam | Optometry | Dk Eyecare, P.C. | 8923 W Military Dr, Suite 109, San Antonio, TX 78245-2102 |
| Richard B Lutton | Family Medicine | American Current Care Pa | 7555 Nw Loop, 410 Suite 114, San Antonio, TX 78245-2354 |
| Patice Keyion Jones | Nurse Practitioner | American Current Care Pa | 7555 Nw Loop, 410 Suite 114, San Antonio, TX 78245-2354 |
| John H Choe | Family Medicine | American Current Care Pa | 7555 Nw Loop, 410 Suite 114, San Antonio, TX 78245-2354 |
| Elizabeth T Ybarra | Nurse Practitioner | American Current Care Pa | 7555 Nw Loop, 410 Suite 114, San Antonio, TX 78245-2354 |
| Miranda Willette | Physician Assistant | American Current Care Pa | 7555 Nw Loop, 410 Suite 114, San Antonio, TX 78245-2354 |
| Raul Santoscoy | Family Medicine | Physician Primecare, Inc | 7431 Nw Loop 410, 109 Health Texas Medical Group of San Antonio, San Antonio, TX 78245-3597 |
| Find all physicians in zip 78245 | |||
| City | SAN ANTONIO |
| Zip Code | 78245 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAN ANTONIO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Clint Kelley Anderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.