Provider Demographics
NPI:1760632970
Name:TEXAS INPATIENT PEDIATRICS, PA
Entity Type:Organization
Organization Name:TEXAS INPATIENT PEDIATRICS, PA
Other - Org Name:TIPS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:F
Authorized Official - Last Name:CARVAJAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-490-5027
Mailing Address - Street 1:PO BOX 2954
Mailing Address - Street 2:MSC 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78299-2954
Mailing Address - Country:US
Mailing Address - Phone:210-490-5027
Mailing Address - Fax:210-490-5077
Practice Address - Street 1:19223 STONEHUE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3456
Practice Address - Country:US
Practice Address - Phone:210-490-5027
Practice Address - Fax:210-490-5077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty