Organization Active NPI

Pbvdm-Huebner, LLC

  • Emergency Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1467824540
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
PBVDM-HUEBNER, LLC
Doing business as
Inwood Emergency Clinic
Practice address
16403 Huebner Rd
San Antonio, TX 78248-1683
Phone
(210) 564-9790
Fax
(210) 564-9741
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Peter Van Delden, MD
Title
President
Phone
(210) 445-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X TX Primary

Addresses

Primary practice location

16403 Huebner Rd
San Antonio, TX 78248-1683

Mailing address

16403 Huebner Rd
San Antonio, TX 78248-1683
Phone (210) 564-9790

Other names 1

  • Inwood Emergency Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

16403 Huebner Rd
San Antonio, TX 78248
Phone (210) 564-9790

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1467824540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16403 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481683",
            "telephone_number": "210-564-9790",
            "fax_number": "210-564-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16403 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481683",
            "telephone_number": "210-564-9790",
            "fax_number": "210-564-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBVDM-HUEBNER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "VAN DELDEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-445-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inwood Emergency Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.