Healthcare Provider Details

I. General information

NPI: 1013247980
Provider Name (Legal Business Name): HARDEN CLINICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2009
Last Update Date: 06/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3307 NORTHLAND DR
AUSTIN TX
78731-4946
US

IV. Provider business mailing address

12900 FOSTER ST SUITE 400
OVERLAND PARK KS
66213-2704
US

V. Phone/Fax

Practice location:
  • Phone: 512-323-1689
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: RUTH S SCHWARTZ JR.
Title or Position: ASSISTANT SECRETARY
Credential:
Phone: 913-814-2288