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Organization

PVD DIAGNOSTICS, LLC

Active
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 78257-9536
(210) 451-7525
(210) 451-7526
Mailing address
PO BOX 690804, SAN ANTONIO, TX 78269-0804
(210) 451-7525
(210) 451-7526

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
09/08/2017
Last updated
10/21/2022
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