Active NPI
Wesley D. Harden, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- San Antonio, TX
National Provider Identifier
1902032873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- Q6025
- Practice address
- 4502 Medical Dr
San Antonio, TX 78229-4402 - Phone
- (210) 358-4000
- Fax
- (210) 949-3060
- NPI assigned
- Jun 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Q6025 | TX | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Q6025 | TX | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | Q6025 | TX | Primary |
Addresses
Primary practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Mailing address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000
Other practice location 1
8401 Datapoint Dr Ste 300
San Antonio, TX 78229-5925
Phone (915) 637-1133
Other practice location 2
1000 E Dove Ave
McAllen, TX 78504-3974
Phone (956) 362-3520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 353817501 | Medicaid | TX | |
| 353817502 | Other | TX | MEDICAID-CSHCN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q6025 | TX | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Rio Grande Valley | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physiological Laboratory
- Harlingen, TX
- NPI 1689330649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1902032873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-4000",
"fax_number": "210-949-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-4000",
"fax_number": "210-949-3060"
}
],
"practiceLocations": [
{
"address_1": "8401 Datapoint Dr Ste 300",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782295925",
"country_code": "US",
"telephone_number": "915-637-1133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 E Dove Ave",
"address_purpose": "LOCATION",
"city": "McAllen",
"state": "TX",
"postal_code": "785043974",
"country_code": "US",
"telephone_number": "956-362-3520",
"fax_number": "956-362-3529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARDEN",
"first_name": "WESLEY",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-05",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q6025",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "TX",
"license": "Q6025",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "TX",
"license": "Q6025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "353817501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID-CSHCN",
"identifier": "353817502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.