Individual
DR. PETER ROLAND VAN DELDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23511 HARDY OAK BLVD, SAN ANTONIO, TX 78258-1928
(210) 361-3266
(210) 564-9156
Mailing address
PO BOX 690804, SAN ANTONIO, TX 78269-0804
(210) 530-1235
(210) 530-1187
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M9714
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198439503
—
TX
01
—
2775644759
MYUTMB 2775644759-COMMERCIAL NUMBER
—
01
—
M9714
TEXAS MEDICAL BOARD
TX
Enumeration date
06/14/2007
Last updated
05/29/2024
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