Healthcare Provider Details

I. General information

NPI: 1811320948
Provider Name (Legal Business Name): BEXAR COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2013
Last Update Date: 06/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4502 MEDICAL DRIVE MAIL STOP 92-1
SAN ANTONIO TX
78229-4493
US

IV. Provider business mailing address

4502 MEDICAL DRIVE MAIL STOP 84-1
SAN ANTONIO TX
78229-4493
US

V. Phone/Fax

Practice location:
  • Phone: 210-358-9209
  • Fax: 210-358-9116
Mailing address:
  • Phone: 210-358-0663
  • Fax: 210-358-1855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. REED HURLEY
Title or Position: EXECUTIVE VICE PRESIDENT/CFO
Credential:
Phone: 210-358-2101