Healthcare Provider Details

I. General information

NPI: 1801168190
Provider Name (Legal Business Name): NIX HOSPITALS SYSTEM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2012
Last Update Date: 01/11/2021
Certification Date: 01/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 NAVARRO ST
SAN ANTONIO TX
78205-2516
US

IV. Provider business mailing address

414 NAVARRO ST STE 600
SAN ANTONIO TX
78205-2541
US

V. Phone/Fax

Practice location:
  • Phone: 210-271-2190
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MS. ROBERT J ELDERS
Title or Position: SECRETARY
Credential:
Phone: 310-943-4500