Healthcare Provider Details

I. General information

NPI: 1700908506
Provider Name (Legal Business Name): BEXAR COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 09/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4502 MEDICAL DR
SAN ANTONIO TX
78229-4493
US

IV. Provider business mailing address

4502 MEDICAL DR
SAN ANTONIO TX
78229-4493
US

V. Phone/Fax

Practice location:
  • Phone: 210-358-4000
  • Fax: 210-358-4745
Mailing address:
  • Phone: 210-358-4000
  • Fax: 210-358-4745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number05952
License Number StateTX

VIII. Authorized Official

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