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Organization

PEDIATRIC INPATIENT CRITICAL CARE SERVICES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HUGO CARVAJAL MD (PRESIDENT)
(210) 558-6288
Entity
Organization

Contact information

Practice address
520 MADISON OAK DR, SAN ANTONIO, TX 78258-3913
(210) 297-4000
Mailing address
PO BOX 4346, DEPT 409, HOUSTON, TX 77210-4346
(210) 558-6288
(210) 558-6289

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary

Other

Enumeration date
03/06/2015
Last updated
08/12/2015
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