Organization
JEANNIE K. HARDEN, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE HARDEN M.D. (MANAGING MEMBER)
(469) 766-2698
Entity
Organization
Contact information
Practice address
10127 HUEBNER RD, SAN ANTONIO, TX 78240
(210) 858-0828
Mailing address
PO BOX 29246, SAN ANTONIO, TX 78229-0246
(469) 766-2698
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
Q8500
TX
2081P0010X
Pediatric Rehabilitation Medicine Physician
Q8500
TX
Other
Enumeration date
09/09/2016
Last updated
09/28/2018
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