Healthcare Provider Details

I. General information

NPI: 1689751596
Provider Name (Legal Business Name): BCFS HEALTH AND HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 11/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7019 W VILLAGE BLVD STE 205
LAREDO TX
78041-2297
US

IV. Provider business mailing address

1506 BEXAR CROSSING ST
SAN ANTONIO TX
78232-1587
US

V. Phone/Fax

Practice location:
  • Phone: 956-712-4700
  • Fax: 956-712-4646
Mailing address:
  • Phone: 210-283-5184
  • Fax: 210-208-5211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ARACELI M FLORES
Title or Position: ASSOCIATE EXECUTIVE DIRECTOR
Credential: RN, BSN
Phone: 956-712-4700