Healthcare Provider Details
I. General information
NPI: 1437229861
Provider Name (Legal Business Name): BEXAR COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/09/2006
Last Update Date: 06/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
903 W MARTIN ST MS 15-2
SAN ANTONIO TX
78207-0903
US
IV. Provider business mailing address
4502 MEDICAL DR
SAN ANTONIO TX
78229-4493
US
V. Phone/Fax
- Phone: 210-358-3846
- Fax: 210-358-5978
- Phone: 210-358-4000
- Fax: 210-358-4745
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | 015080 |
| License Number State | TX |
VIII. Authorized Official
Name: MR.
REED
HURLEY
Title or Position: EXECUTIVE VICE PRESIDENT CFO
Credential:
Phone: 210-358-2101