Provider Demographics
NPI:1952580565
Name:METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP
Entity Type:Organization
Organization Name:METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP
Other - Org Name:METHODIST HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BERNAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-575-6275
Mailing Address - Street 1:8026 FLOYD CURL DRIVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3915
Mailing Address - Country:US
Mailing Address - Phone:210-575-4000
Mailing Address - Fax:210-692-4410
Practice Address - Street 1:8026 FLOYD CURL DRIVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-575-4000
Practice Address - Fax:210-692-4410
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
453506Medicare Oscar/Certification