Provider Demographics
NPI:1578857249
Name:BEXAR HEALTHCARE CONSORTIUM
Entity Type:Organization
Organization Name:BEXAR HEALTHCARE CONSORTIUM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / CHIEF NURSING OFFIC
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:JEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-861-3541
Mailing Address - Street 1:5202 TEXANA DR
Mailing Address - Street 2:SUITE 1414
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3772
Mailing Address - Country:US
Mailing Address - Phone:210-861-3541
Mailing Address - Fax:
Practice Address - Street 1:5202 TEXANA DR
Practice Address - Street 2:SUITE 1414
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3772
Practice Address - Country:US
Practice Address - Phone:210-861-3541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-31
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX795334251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health