Healthcare Provider Details

I. General information

NPI: 1437760394
Provider Name (Legal Business Name): BEXAR COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2020
Last Update Date: 09/16/2020
Certification Date: 09/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11703 HUEBNER RD STE 104
SAN ANTONIO TX
78230-1211
US

IV. Provider business mailing address

PO BOX 734810
DALLAS TX
75373-4810
US

V. Phone/Fax

Practice location:
  • Phone: 210-644-2300
  • Fax: 210-702-6970
Mailing address:
  • Phone: 210-358-9202
  • Fax: 210-358-4745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM ROSS BEDWELL
Title or Position: EXCUTIVE DIRECTOR OF REIMBURSEMENT
Credential:
Phone: 210-743-6505