WILDERNESS-HARDY OAK MEDICAL CENTER, LLC (NPI# 1811307697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811307697 |
| Entity Type | Organization |
| Organization Name | WILDERNESS-HARDY OAK MEDICAL CENTER, LLC |
| Other Organization Name | FIRST CHOICE EMERGENCY ROOM |
| Practice Address |
23511 Hardy Oak Blvd San Antonio TX 78258 |
| Mailing Address |
Po Box 840795 Dallas TX 75284-0795 |
| Practice Telephone | 9728996650 |
| Practice Fax Number | 9728995954 |
| Mailing Telephone | 9728996650 |
| Mailing Fax Number | 9728995954 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | TIM FIELDING (CFO) |
| Authorized Official Telephone | 9728996650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
160135 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | JCAHO | 434148 | 01 |
| Other Name | Type Code |
|---|---|
| First Choice Emergency Room | Doing Business As Name - Organization |
| Street Address |
23511 HARDY OAK BLVD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222988 | Nuch of Texas | Clinic/Center | 5900 Broadway St, San Antonio, TX 78209-5236 | 2019-05-31 |
| 1174059208 | The Emergency Center At Alamo Ranch, LLC | Clinic/Center | 11320 Alamo Ranch Parkway, San Antonio, TX 78253 | 2017-05-10 |
| 1063955466 | De Zavala Medical Center | Clinic/Center | 12805 W Interstate 10, San Antonio, TX 78249-2211 | 2016-12-02 |
| 1043762578 | Coastal Er Vii, LLC | Clinic/Center | 3154 Se Military Dr Ste 103, San Antonio, TX 78223-3975 | 2016-11-01 |
| 1043761463 | Legacy Trails Medical Center | Clinic/Center | 9211 Potranco Rd, San Antonio, TX 78251 | 2016-10-20 |
| 1043767569 | My Er Stcpr, Lp | Clinic/Center | 5431 North Loop 1604 West, San Antonio, TX 78257 | 2016-09-01 |
| 1568833762 | Plains Er Management, Ltd | Clinic/Center | 15140 Nacogdoches Rd, San Antonio, TX 78247-1212 | 2015-10-13 |
| 1184001158 | Potranco Medical Center | Clinic/Center | 738 W Loop 1604 N, San Antonio, TX 78251 | 2015-04-29 |
| 1609268879 | Alamo Heights Complete Care LLC | Clinic/Center | 6496 N New Braunfels Ave, San Antonio, TX 78209-3827 | 2015-02-25 |
| 1396174470 | Culebra - Tezel Medical Center, LLC | Clinic/Center | 5530 Tezel Rd, San Antonio, TX 78250-4194 | 2013-11-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
Please comment or provide details below to improve the information on WILDERNESS-HARDY OAK MEDICAL CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.