Healthcare Provider Details

I. General information

NPI: 1578379582
Provider Name (Legal Business Name): BEXAR COUNTY EMERGENCY SERVICES DISTRICT NO 4
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2024
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26217 RALPH FAIR RD
BOERNE TX
78015-2272
US

IV. Provider business mailing address

PO BOX 222013
DALLAS TX
75222-2013
US

V. Phone/Fax

Practice location:
  • Phone: 210-698-1593
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: SCOTT DUANE BURGESS
Title or Position: DIVISION CHIEF
Credential:
Phone: 210-698-1593