MEDICARE: DR. AMBER HARDEMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	W3267	TX
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1568025138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMBER HARDEMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 58538
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-8538
Country	:	US
Telephone Number	:	346-288-8228
Fax Number	:

Provider Business Practice Location Address
First Line	:	21216 NORTHWEST FWY STE 400
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-4696
Country	:	US
Telephone Number	:	346-288-8228
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2019
Last Update Date	:	03/03/2026

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Directions to “ DR. AMBER HARDEMAN MD” Practice Location

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