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Nathon C. Allred

Anesthesiology

Allopathic & Osteopathic Physicians

4502 Medical Dr, San Antonio, TX 78229-4402

PECOS Enrollment

This provider is enrolled in PECOS as NATHON ALLRED.

Based on the most recent information from CMS, provider Nathon C. Allred is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1124387733
Provider Type
Individual
Full Name
Allred, Nathon C.
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/16/2012
Last Updated
8/16/2016

Contact Information

Practice Location

4502 Medical Dr, San Antonio, TX 78229-4402

(210) 358-4000

Unlisted Fax

Mailing Location

7703 Floyd Curl Dr, San Antonio, TX 78229-3901

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License 0055355 Colorado
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Nathon C. Allred

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Anesthesiology Services Pa

Wheeler, A. Scott

Carlisle, Lee

Ronald Gotanco P.A.

Langdon, David Bruce

South Texas Anesthesia Group Pllc

Gurkowski, Mary Ann

Freeman, Rachel Michelle

Shaddock, William

Manohar, Crystal Murli