Healthcare Provider Details

I. General information

NPI: 1164042669
Provider Name (Legal Business Name): BP HEALTHCARE OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 05/26/2020
Certification Date: 05/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27719 WOODWAY BND
BOERNE TX
78006-6552
US

IV. Provider business mailing address

17503 LA CANTERA PKWY STE 104-603
SAN ANTONIO TX
78257-8207
US

V. Phone/Fax

Practice location:
  • Phone: 301-318-9625
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT BARNWELL
Title or Position: PARTNER
Credential: MD
Phone: 301-318-9625