MEDICARE: METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1265374169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., LLP

Provider Business Mailing Address
First Line	:	6402 MALLARD MDW
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-4600
Country	:	US
Telephone Number	:	210-757-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6402 MALLARD MDW
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-4600
Country	:	US
Telephone Number	:	210-757-5000
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JERRICA GEORGE
Credential	:
Telephone Number	:	210-757-5002

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/10/2026

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