Provider Demographics
NPI:1619929833
Name:CHILD CARE ASSOC OF BEXAR COUNTY
Entity Type:Organization
Organization Name:CHILD CARE ASSOC OF BEXAR COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CHILD CARE ASSOCIATES
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:HILLIARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-225-7171
Mailing Address - Street 1:203 E EVERGREEN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212
Mailing Address - Country:US
Mailing Address - Phone:210-225-7171
Mailing Address - Fax:210-225-5819
Practice Address - Street 1:203 E EVERGREEN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212
Practice Address - Country:US
Practice Address - Phone:210-225-7171
Practice Address - Fax:210-225-5819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4152208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty