Individual
DR. WESLEY D. HARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 949-3060
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 949-3060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Q6025
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Q6025
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
Q6025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353817501
—
TX
01
—
353817502
MEDICAID-CSHCN
TX
Enumeration date
06/05/2009
Last updated
01/23/2023
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