Healthcare Provider Details

I. General information

NPI: 1538338181
Provider Name (Legal Business Name): BEXAR COUNTY BOARD OF TRUSTEES FOR MHMR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 05/26/2023
Certification Date: 05/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 W DREXEL AVE
SAN ANTONIO TX
78210-2912
US

IV. Provider business mailing address

6800 PARK TEN BLVD STE 200S
SAN ANTONIO TX
78213-4293
US

V. Phone/Fax

Practice location:
  • Phone: 210-532-5159
  • Fax: 210-531-2979
Mailing address:
  • Phone: 210-261-1000
  • Fax: 210-261-1821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EUGENE GARCIA
Title or Position: CREDENTIALING SUPERVISOR
Credential:
Phone: 210-261-1072