# JEANNIE K. HARDEN, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043767791
- **Authorized official:** JEANNIE HARDEN M.D. (MANAGING MEMBER)
- **Authorized official phone:** (469) 766-2698

## Contact information

- **Practice address:** 10127 HUEBNER RD, SAN ANTONIO, TX 78240
- **Practice address phone:** (210) 858-0828
- **Mailing address:** PO BOX 29246, SAN ANTONIO, TX 78229-0246
- **Mailing address phone:** (469) 766-2698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | Q8500 | TX | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | Q8500 | TX | — |

## Other

- **Enumeration date:** 09/09/2016
- **Last updated:** 09/28/2018