Individual
JOSHUA TARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7959 BROADWAY ST, SUITE 604, SAN ANTONIO, TX 78209-2667
(210) 826-1891
(210) 755-4459
Mailing address
7959 BROADWAY ST, SUITE 604, SAN ANTONIO, TX 78209-2667
(210) 826-1891
(210) 755-4459
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N6706
TX
Other
Enumeration date
06/11/2007
Last updated
06/13/2010
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