NPI 1104485770
Clark Calvin Anderson, MD
Student in an Organized Health Care Education/Training Program · San Antonio, TX
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 1:11 pm EDT
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Clark Calvin Anderson, MD is a health care provider (Student in an Organized Health Care Education/Training Program) in San Antonio, Texas with National Provider Identifier (NPI) 1104485770. The NPI was issued on Jun 7, 2019 and the registry record was last updated on Jun 25, 2024. The registry lists 2 licenses in North Carolina, Virginia.
Registry record
- NPI
- 1104485770
- Type
- Individual (NPI-1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice location
- 4502 Medical Dr
San Antonio, TX 78229 - Phone
- (920) 460-8927
- NPI issued
- Jun 7, 2019
- Registry record updated
- Jun 25, 2024
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | ||
| Internal Medicine | 207R00000X | North Carolina | None |
| Internal Medicine | 207R00000X | Virginia | 0101281056 |
Confirm license status and discipline with the state board (links in NPI Lookup).
Student in an Organized Health Care Education/Training Program providers in Texas
- Christina NguyenConroe, TX
- Ryan KochTemple, TX
- Ankur Tiwari, MBBSSan Antonio, TX
- Rohan Chandreshkumar ShahDallas, TX
- Anubhav Singh, M.DBeaumont, TX
- Candice HaydenSan Antonio, TX
- Ashley Tran AndrewSan Antonio, TX
- Marissa WelchCooper, TX
- Janice M. Cox, M.D.Fort Hood, TX
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.