Organization
DANDAN PRIMARY CARE, LLC
Active
Other names
Harlandale Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELHEM DANDAN MD (OWNER)
(661) 912-7496
Entity
Organization
Contact information
Practice address
354 E SOUTHCROSS BLVD STE 100, SAN ANTONIO, TX 78214-3595
(661) 912-7458
Mailing address
19807 FIESTA GRANDE, SAN ANTONIO, TX 78256-2038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053393520
NPPES
TX
Enumeration date
08/13/2021
Last updated
07/15/2022
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