Provider Demographics
NPI:1215465323
Name:METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.
Entity type:Organization
Organization Name:METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-769-3515
Mailing Address - Street 1:1905 HIGHWAY 97 E
Mailing Address - Street 2:
Mailing Address - City:JOURDANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78026-1504
Mailing Address - Country:US
Mailing Address - Phone:830-769-3515
Mailing Address - Fax:830-769-5264
Practice Address - Street 1:1905 HIGHWAY 97 E
Practice Address - Street 2:
Practice Address - City:JOURDANTON
Practice Address - State:TX
Practice Address - Zip Code:78026-1504
Practice Address - Country:US
Practice Address - Phone:830-769-3515
Practice Address - Fax:830-769-5264
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit