Healthcare Provider Details

I. General information

NPI: 1356284897
Provider Name (Legal Business Name): METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20475 STATE HIGHWAY 46 W STE 100
SPRING BRANCH TX
78070-6147
US

IV. Provider business mailing address

20475 STATE HIGHWAY 46 W STE 100
SPRING BRANCH TX
78070-6147
US

V. Phone/Fax

Practice location:
  • Phone: 830-252-5200
  • Fax:
Mailing address:
  • Phone: 830-252-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL BEAVER
Title or Position: CEO
Credential:
Phone: 210-638-2101