Healthcare Provider Details

I. General information

NPI: 1184751562
Provider Name (Legal Business Name): BEXAR COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 11/10/2022
Certification Date: 11/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1831 S GENERAL MCMULLEN DR
SAN ANTONIO TX
78226-1190
US

IV. Provider business mailing address

4502 MEDICAL DR # MS 14-2
SAN ANTONIO TX
78229-4402
US

V. Phone/Fax

Practice location:
  • Phone: 210-644-8520
  • Fax: 210-644-8525
Mailing address:
  • Phone: 210-358-3700
  • Fax: 210-358-5962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number StateTX

VIII. Authorized Official

Name: MRS. DAISY VALERY NOGUERA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 210-644-6025