Healthcare Provider Details

I. General information

NPI: 1003539073
Provider Name (Legal Business Name): BANDERA FAMILY HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8703 BANDERA RD
SAN ANTONIO TX
78250-2504
US

IV. Provider business mailing address

1464 E WHITESTONE BLVD STE 1101
CEDAR PARK TX
78613-9070
US

V. Phone/Fax

Practice location:
  • Phone: 512-766-1400
  • Fax:
Mailing address:
  • Phone: 512-309-8925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. HENRY HIGGINS
Title or Position: CEO
Credential: MD
Phone: 512-260-2732