Healthcare Provider Details

I. General information

NPI: 1912906298
Provider Name (Legal Business Name): SOUTHWEST GENERAL HOSPITAL LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 07/21/2022
Certification Date: 04/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 BARLITE BLVD
SAN ANTONIO TX
78224-1308
US

IV. Provider business mailing address

7400 BARLITE BLVD ATTN: BILLING
SAN ANTONIO TX
78224-1308
US

V. Phone/Fax

Practice location:
  • Phone: 210-921-2000
  • Fax: 210-921-3508
Mailing address:
  • Phone: 210-921-2000
  • Fax: 210-921-3508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateTX

VIII. Authorized Official

Name: JOHN DOYLE
Title or Position: CFO
Credential:
Phone: 469-341-8804