HARDY OAK PVDM ENTERPRISES LLC NPI 1952903197

NPI Information

HARDY OAK PVDM ENTERPRISES, LLC is an emergency medical services emergency medicine in San Antonio, TX. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. HARDY OAK PVDM ENTERPRISES, LLC NPI is 1952903197. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23511 HARDY OAK BLVD
SAN ANTONIO, TX
ZIP 78258-928
Phone: (210) 626-8782

The provider's authorized official is Peter Van Delden .
The authorized official title is Ceo and has the following contact phone number (210) 373-9647.

The CLIA number assigned to this NPI record is 45D2012316 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2020 and was last updated on 2/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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