Provider Demographics
NPI:1912619354
Name:CARINGAL, MAXIMO OCAMPO
Entity Type:Individual
Prefix:
First Name:MAXIMO
Middle Name:OCAMPO
Last Name:CARINGAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13317 BEAR CREEK CT
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-2033
Mailing Address - Country:US
Mailing Address - Phone:417-350-6022
Mailing Address - Fax:
Practice Address - Street 1:13317 BEAR CREEK CT
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-2033
Practice Address - Country:US
Practice Address - Phone:417-350-6022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1011160163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse