Provider Demographics
NPI:1326042664
Name:AESCHLIMANN, CARLOS ALFREDO (MD)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:ALFREDO
Last Name:AESCHLIMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14100 SAN PEDRO AVE
Mailing Address - Street 2:SUITE 412
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4361
Mailing Address - Country:US
Mailing Address - Phone:210-543-7334
Mailing Address - Fax:210-314-5044
Practice Address - Street 1:20821 US HIGHWAY 281 N STE 324
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7597
Practice Address - Country:US
Practice Address - Phone:210-998-4758
Practice Address - Fax:210-314-5044
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9033208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130860308Medicaid
TX130860308Medicaid