Provider Demographics
NPI:1265661268
Name:BEXAR HEALTHCARE CONSORTIUM, LLC
Entity Type:Organization
Organization Name:BEXAR HEALTHCARE CONSORTIUM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / CHIEF EXEC OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:JEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, RN
Authorized Official - Phone:210-215-2414
Mailing Address - Street 1:5202 TEXANA DR APT 1414
Mailing Address - Street 2:SUITE 1414
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3788
Mailing Address - Country:US
Mailing Address - Phone:210-215-2414
Mailing Address - Fax:
Practice Address - Street 1:5202 TEXANA DR APT 1414
Practice Address - Street 2:SUITE 1414
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3788
Practice Address - Country:US
Practice Address - Phone:210-215-2414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-11
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care