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PHILLIP R CRAVEN JR. M.D. P.A. NPI 1972727691


NPI Information

NPI: 1972727691
Provider Name: PHILLIP R CRAVEN JR., M.D., P.A.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
9150 HUEBNER RD
SUITE 390
SAN ANTONIO, TX
ZIP 78240
Phone: (210) 561-7200
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PHILLIP R CRAVEN JR., M.D., P.A. is a specialist in San Antonio, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PHILLIP R CRAVEN JR., M.D., P.A. NPI is 1972727691. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9150 HUEBNER RD
SUITE 390
SAN ANTONIO, TX
ZIP 78240-558
Phone: (210) 561-7200
Fax: (210) 561-7199

The provider's authorized official is Phillip R Craven .
The authorized official title is Owner Physician and has the following contact phone number (210) 561-7200.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 5/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistD9406TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C14867MEDICARE UPINTEXAS
2110371501MEDICAIDTEXAS
34071395OTHERTEXASAETNA
481631KOTHERTEXASBLUE CROSS & BLUE SHIELD
500220KMEDICARE ID-TYPE UNSPECIFIEDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.