MEDICARE: METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP

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	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1447117718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP

Provider Business Mailing Address
First Line	:	6000 NORTHWEST PKWY STE 124
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-3345
Country	:	US
Telephone Number	:	210-575-0552
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 NORTHWEST PKWY STE 124
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-3345
Country	:	US
Telephone Number	:	210-575-0552
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MICHAEL LEWIS HERRON
Credential	:
Telephone Number	:	210-575-6275

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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