Provider Demographics
NPI:1306083738
Name:METHODIST HEALTHCARE SYSTEM
Entity type:Organization
Organization Name:METHODIST HEALTHCARE SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PEDIATRIC INTENSIVISTS
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TENNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-575-6919
Mailing Address - Street 1:7711 LOUIS PASTEUR
Mailing Address - Street 2:SUITE 708
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-575-6919
Mailing Address - Fax:210-575-4013
Practice Address - Street 1:7700 FLOYD CURL DR
Practice Address - Street 2:PEDIATRIC INTENSIVE CARE UNIT - 2 SOUTH
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3902
Practice Address - Country:US
Practice Address - Phone:210-575-7120
Practice Address - Fax:210-575-7123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX625493282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren