Individual
CARLY D HIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11398 BANDERA RD STE 201, SAN ANTONIO, TX 78250-6827
(210) 998-4751
(210) 314-5044
Mailing address
14100 SAN PEDRO AVE STE 412, SAN ANTONIO, TX 78232-2009
(210) 281-8669
(210) 314-5044
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP143299
TX
Other
Enumeration date
10/17/2019
Last updated
04/28/2022
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