Individual ProviderJohn S RichardsonAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address4502 Medical Dr, San Antonio, TX 78229-4402(210) 358-4000(210) 450-9000PECOS EnrollmentBased on the most recent information from CMS, provider John S Richardson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1295758977Provider TypeIndividualFull NameRichardson, John SCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/25/2006Last Updated11/4/2011Contact InformationPractice LocationPractice Address4502 Medical Dr, San Antonio, TX 78229-4402Phone(210) 358-4000Fax(210) 358-4911Mailing LocationMailing Address7703 Floyd Curl Dr, Mc7977, San Antonio, TX 78229-3901Phone(210) 450-9000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseE4633TexasProvider IdentifiersIDDescriptionIssuerID115459306DescriptionMedicaidIssuerUnlistedTexas