MEDICARE: BEXAR COUNTY HOSPITAL DISTRICT

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	332B00000X	Durable Medical Equipment & Medical Supplies	05952	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700908506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEXAR COUNTY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	4502 MEDICAL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4493
Country	:	US
Telephone Number	:	210-358-4000
Fax Number	:	210-358-4745

Provider Business Practice Location Address
First Line	:	4502 MEDICAL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4493
Country	:	US
Telephone Number	:	210-358-4000
Fax Number	:	210-358-4745

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT
Name	:	MR. REED HURLEY
Credential	:
Telephone Number	:	210-358-2101

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	09/12/2019

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Directions to “BEXAR COUNTY HOSPITAL DISTRICT ” Practice Location

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