Organization
PVDM-RIM ED
Active
Other names
Full Spectrum Emergency Room at The Rim
Organization subpart
No
Provider details
NPI number
Authorized official
PETER VAN DELDEN MD (CEO)
(210) 445-4450
Entity
Organization
Contact information
Practice address
18007 W IH 10, SAN ANTONIO, TX 78257
(210) 530-1040
(210) 530-1187
Mailing address
PO BOX 690804, SAN ANTONIO, TX 78269-0804
(210) 530-1040
(210) 530-1187
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
160291
TX
Other
Enumeration date
10/26/2016
Last updated
05/29/2024
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