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Chukwuemeka Carl Runyon

Anesthesiology

Allopathic & Osteopathic Physicians

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

PECOS Enrollment

This provider is enrolled in PECOS as CHUKWUEMEKA RUNYON.

Based on the most recent information from CMS, provider Chukwuemeka Carl Runyon 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 yesterday at 11:51 AM.

Profile Details

Provider ID
1174056667
Provider Type
Individual
Full Name
Runyon, Chukwuemeka Carl
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/11/2017
Last Updated
6/17/2021

Contact Information

Practice Location

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

(210) 567-4500

Unlisted Fax

Mailing Location

1751 Babcock Rd Apt 113, San Antonio, TX 78229-4681

(407) 515-0494

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License S9217 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Chukwuemeka Carl Runyon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Michael Wissa, Md, Pllc

Baginski, Holly

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Clanton, David B.

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Stowers, Ashlie Renee