Provider Demographics
NPI:1922182138
Name:SOUTHWEST GENERAL HOSPITAL LP
Entity Type:Organization
Organization Name:SOUTHWEST GENERAL HOSPITAL LP
Other - Org Name:TEXAS VISTA MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HOSPITAL CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-341-8804
Mailing Address - Street 1:7400 BARLITE BLVD
Mailing Address - Street 2:ATTN: BILLING
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1308
Mailing Address - Country:US
Mailing Address - Phone:210-921-2000
Mailing Address - Fax:210-921-3508
Practice Address - Street 1:7400 BARLITE BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1308
Practice Address - Country:US
Practice Address - Phone:210-921-2000
Practice Address - Fax:210-921-3508
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHWEST GENERAL HOSPITAL LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-24
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA45T697Medicare Oscar/Certification