Healthcare Provider Details
I. General information
NPI: 1336885235
Provider Name (Legal Business Name): BHS PHYSICIANS NETWORK, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2022
Last Update Date: 05/12/2022
Certification Date: 05/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10010 ROGERS XING STE 308
SAN ANTONIO TX
78251-4776
US
IV. Provider business mailing address
10010 ROGERS XING STE 308
SAN ANTONIO TX
78251-4776
US
V. Phone/Fax
- Phone: 210-598-5605
- Fax: 210-598-5620
- Phone: 210-598-5605
- Fax: 210-598-5620
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIAN
RASMUS
Title or Position: VP, CFO TPR
Credential:
Phone: 469-893-2532