Dr Peter Roland Van Delden, MD | |
23511 Hardy Oak Blvd, San Antonio, TX 78258-1928 | |
(210) 361-3266 | |
(210) 564-9156 |
Full Name | Dr Peter Roland Van Delden |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 23511 Hardy Oak Blvd, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265636856 | NPI | - | NPPES |
198439503 | Medicaid | TX | |
2775644759 | Other | MYUTMB 2775644759-COMMERCIAL NUMBER | |
M9714 | Other | TX | TEXAS MEDICAL BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | M9714 (Texas) | Primary |
Entity Name | Pvd Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033652110 PECOS PAC ID: 5991062200 Enrollment ID: O20171121002782 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter Roland Van Delden, MD Po Box 690804, San Antonio, TX 78269-0804 Ph: (210) 530-1235 | Dr Peter Roland Van Delden, MD 23511 Hardy Oak Blvd, San Antonio, TX 78258-1928 Ph: (210) 361-3266 |
Dr. Jeff Sensenig, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Datapoint Dr, Ste 500, San Antonio, TX 78229 Phone: 210-614-0180 Fax: 210-615-7170 | |
Adam Clemens Benzing, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7719 S I-35 Frontage Road, San Antonio, TX 78232 Phone: 210-572-2955 | |
Dr. John F. Bragan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1610 Wood Quail, San Antonio, TX 78248 Phone: 210-416-4420 Fax: 210-492-4317 | |
Dr. Joseph Michael Martin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Alamosa Ave, San Antonio, TX 78210 Phone: 210-269-9372 | |
Luke Franklin Husby, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-450-9000 | |
Dr. Erica Lynn Hudson, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7930 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-297-5000 | |
Thomas Rex Bosen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7700 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-233-6363 |