Healthcare Provider Details
I. General information
NPI: 1336275239
Provider Name (Legal Business Name): BEXAR COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2007
Last Update Date: 07/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
903 W. MARTIN
SAN ANTONIO TX
78207-0903
US
IV. Provider business mailing address
4502 MEDICAL DRIVE MAIL STOP 10-2
SAN ANTONIO TX
78229-4492
US
V. Phone/Fax
- Phone: 210-358-3427
- Fax: 210-358-3347
- Phone: 210-358-8255
- Fax: 210-358-9315
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0005X |
| Taxonomy | Ambulatory Family Planning Facility |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name: MR.
REED
HURLEY
Title or Position: EXECUTIVE VP/CFO
Credential:
Phone: 210-358-2101