Provider Demographics
NPI:1245722909
Name:CARRASCO, HUGO RAFAEL (CSA)
Entity type:Individual
Prefix:MR
First Name:HUGO
Middle Name:RAFAEL
Last Name:CARRASCO
Suffix:
Gender:M
Credentials:CSA
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Mailing Address - Street 1:17515 SPRING CYPRESS RD STE C-204
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2688
Mailing Address - Country:US
Mailing Address - Phone:281-653-2924
Mailing Address - Fax:832-688-8144
Practice Address - Street 1:17515 SPRING CYPRESS RD STE C-204
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2688
Practice Address - Country:US
Practice Address - Phone:281-653-2924
Practice Address - Fax:832-688-8144
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2025-12-04
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXSA00793OtherTMB