Organization
WILDERNESS-HARDY OAK MEDICAL CENTER, LLC
Active
Other names
First Choice Emergency Room
Organization subpart
No
Provider details
NPI number
Authorized official
TIM FIELDING (CFO)
(972) 899-6650
Entity
Organization
Contact information
Practice address
23511 HARDY OAK BLVD, SAN ANTONIO, TX 78258
(972) 899-6650
(972) 899-5954
Mailing address
PO BOX 840795, DALLAS, TX 75284-0795
(972) 899-6650
(972) 899-5954
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
160135
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
434148
JCAHO
TX
Enumeration date
05/02/2014
Last updated
11/17/2014
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