MEDICARE: ABEL HIPOLITO MDPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician		TX

General Provider Information

NPI Number	:	1407981350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABEL HIPOLITO MDPA

Provider Business Mailing Address
First Line	:	8600 WURZBACH RD
Second Line	:	STE 504
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-4330
Country	:	US
Telephone Number	:	210-614-2888
Fax Number	:	210-614-0444

Provider Business Practice Location Address
First Line	:	8600 WURZBACH RD
Second Line	:	STE 504
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-4330
Country	:	US
Telephone Number	:	210-614-2888
Fax Number	:	210-614-0444

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ABEL HIPOLITO
Credential	:	M.D.
Telephone Number	:	210-614-2888

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	08/22/2020

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