Healthcare Provider Details

I. General information

NPI: 1508993981
Provider Name (Legal Business Name): BEXAR COUNTY HOSPITAL DISTRICT - EASTSIDE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 05/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 N RIO GRANDE
SAN ANTONIO TX
78202-3265
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 210-224-7981
  • Fax: 210-271-0767
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: MS. PEGGY DEMING
Title or Position: CFO
Credential:
Phone: 210-358-2101