Organization
PHILLIP R CRAVEN JR., M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP R CRAVEN JR. MD (OWNER PHYSICIAN)
(210) 561-7200
Entity
Organization
Contact information
Practice address
9150 HUEBNER RD, SUITE 390, SAN ANTONIO, TX 78240-1558
(210) 561-7200
(210) 561-7199
Mailing address
9150 HUEBNER RD, SUITE 390, SAN ANTONIO, TX 78240-1558
(210) 561-7200
(210) 561-7199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D9406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110371501
—
TX
01
—
4071395
AETNA
TX
01
—
81631K
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
04/12/2007
Last updated
05/12/2011
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