Phillip R Craven Jr., M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D9406 Issued in TX

Legal business name

PHILLIP R CRAVEN JR., M.D., P.A.

Practice address

9150 Huebner Rd
Suite 390
San Antonio, TX 78240-1558

Phone

(210) 561-7200

Fax

(210) 561-7199

NPI assigned

Apr 12, 2007

Last updated

May 12, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phillip R Craven Jr., MD

Title

Owner Physician

Phone

(210) 561-7200

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc M. Dehart, M.D.

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1124020185
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1972727691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD",
            "address_2": "SUITE 390",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401558",
            "telephone_number": "210-561-7200",
            "fax_number": "210-561-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD",
            "address_2": "SUITE 390",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401558",
            "telephone_number": "210-561-7200",
            "fax_number": "210-561-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP R CRAVEN JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "CRAVEN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "210-561-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "D9406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110371501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "81631K",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4071395",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roshni Ann Philip, CRNA
• Shiney Rinu Philip, ACAGNP
• Vinu Joe Philip, MD
• Stephanie M. Philipp, PAC
• Ragi Philips, MD
• Alan Dean Phillips, MA., LMFTA
• Alexa Gabrielle Phillips, LPC-A
• Alyssia Cecilia Phillips
• Amy Phillips
• April Gloria Maria Phillips, LVN

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.