Look up the most recent NPI and PECOS records

David B. Clanton

Anesthesiology

Allopathic & Osteopathic Physicians

4502 Medical Dr, San Antonio, TX 78229-4402

(210) 358-4000 (972) 233-1999

PECOS Enrollment

This provider is enrolled in PECOS as DAVID CLANTON.

Based on the most recent information from CMS, provider David B. Clanton 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
1235310673
Provider Type
Individual
Full Name
Clanton, David B.
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
11/14/2007
Last Updated
7/7/2022

Contact Information

Practice Location

4502 Medical Dr, San Antonio, TX 78229-4402

(210) 358-4000

(210) 358-4911

Mailing Location

PO Box 840853, Dallas, TX 75284-0853

(972) 233-1999

(972) 233-3666

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License N5631 Texas

Provider Identifiers

ID	Description	Issuer
ID 282557201	Description Medicaid	Issuer Unlisted Texas

David B. Clanton

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Gardner, Kelly Ann

Kosigi, Krishna Chaitanya Sharoff

Trevino, Kimberly Danielle

Carlisle, Lee

Attia, Ahmed

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Elenes, Rafael

Richardson, John S

Rodriguez, Armand R.

Stowers, Ashlie Renee