Provider Demographics
NPI:1811981350
Name:ANES, JOHN C (M D)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:ANES
Suffix:
Gender:M
Credentials:M D
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Mailing Address - Street 1:8109 FREDERICKSBURG RD
Mailing Address - Street 2:PHYSICIAN PRACTICE SERVICES
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3311
Mailing Address - Country:US
Mailing Address - Phone:210-223-9617
Mailing Address - Fax:210-472-2669
Practice Address - Street 1:1303 MCCULLOUGH AVE
Practice Address - Street 2:SUITE 560
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5609
Practice Address - Country:US
Practice Address - Phone:210-223-9617
Practice Address - Fax:210-472-2669
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2014-05-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF2154207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01136127OtherRAILROAD MEDICARE
TX117251201Medicaid
TX117251204Medicaid
TX117251205Medicaid
TX8DL452OtherBCBSTX
P00880484OtherMEDICARE RR
TX117251205Medicaid
P00880484OtherMEDICARE RR
TXB20907Medicare UPIN
TX882166Medicare PIN