Provider Demographics
NPI:1952400814
Name:HARDEN, MICHELLE ARKO (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ARKO
Last Name:HARDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:ARKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1976
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78297-1976
Mailing Address - Country:US
Mailing Address - Phone:210-614-2229
Mailing Address - Fax:210-614-2232
Practice Address - Street 1:540 OAK CENTRE DR STE 280
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3937
Practice Address - Country:US
Practice Address - Phone:210-614-2229
Practice Address - Fax:210-614-2232
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6273207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116879103Medicaid
F34691Medicare UPIN
TX85Y622Medicare PIN