Basic Information
Provider Information
NPI: 1326042664
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AESCHLIMANN
FirstName: CARLOS
MiddleName: ALFREDO
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14100 SAN PEDRO AVE
Address2: SUITE 412
City: SAN ANTONIO
State: TX
PostalCode: 782324361
CountryCode: US
TelephoneNumber: 2105437334
FaxNumber: 2103145044
Practice Location
Address1: 20821 US HIGHWAY 281 N STE 324
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782587597
CountryCode: US
TelephoneNumber: 2109984758
FaxNumber: 2103145044
Other Information
ProviderEnumerationDate: 06/01/2005
LastUpdateDate: 01/07/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/07/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XH9033TXY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


Home