Healthcare Provider Details

I. General information

NPI: 1780073056
Provider Name (Legal Business Name): BEXAR COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2015
Last Update Date: 01/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2736 FM 775
LA VERNIA TX
78121-4731
US

IV. Provider business mailing address

4502 MEDICAL DR
SAN ANTONIO TX
78229-4402
US

V. Phone/Fax

Practice location:
  • Phone: 830-779-2355
  • Fax:
Mailing address:
  • Phone: 210-358-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. GEORGE B HERNANDEZ JR.
Title or Position: PRESIDENT/CHIEF EXECUTIVE OFFICER
Credential:
Phone: 210-358-2000