Individual ProviderWilliam ShaddockAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address7703 Floyd Curl Dr, San Antonio, TX 78229-3901(210) 567-7000(832) 610-4131PECOS EnrollmentBased on the most recent information from CMS, provider William Shaddock is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 11:51 AM.Profile DetailsProvider ID1194174342Provider TypeIndividualFull NameShaddock, WilliamCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/8/2016Last Updated7/2/2020Contact InformationPractice LocationPractice Address7703 Floyd Curl Dr, San Antonio, TX 78229-3901Phone(210) 567-7000FaxUnlisted FaxMailing LocationMailing Address18823 Edwards Edge, San Antonio, TX 78256-1903Phone(832) 610-4131FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseS6037TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseBP10057319Texas