NPIMap

Organization Active NPI

Bandera Family Hospital LLC

  • General Acute Care Hospital
  • San Antonio, TX
National Provider Identifier
1003539073
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
BANDERA FAMILY HOSPITAL LLC
Practice address
8703 Bandera Rd
San Antonio, TX 78250-2504
Phone
(512) 766-1400
NPI assigned
Sep 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Henry Higgins, MD
Title
Ceo
Phone
(512) 260-2732

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

8703 Bandera Rd
San Antonio, TX 78250-2504

Mailing address

1464 E Whitestone Blvd Ste 1101
Cedar Park, TX 78613-9070
Phone (512) 309-8925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240610000049 TX Part A Provider - Hospital 0446792279 Practice locations: San Antonio, TX

Hospital certification: CCN 670336

Legal name
BANDERA FAMILY HOSPITAL LLC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 24, 2024
Last certification
Dec 24, 2024
Beds
2
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
8703 Bandera Rd
San Antonio, TX 78250-2504
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Bandera Family HospitalCCN 670336
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2292718Bandera Family Hospital8703 Bandera Road, San Antonio, TX 78250AccreditationSep 30, 2026

National Provider Directory

National Provider Directory

Locations

8703 Bandera Rd
San Antonio, TX 78250
Phone (210) 332-5460

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Laura Higgins Individual 5% Or Greater Direct Ownership Interest Oct 28, 2022 8.13%
Nicole Campbell Individual Operational/Managerial Control Oct 28, 2022
Adam Higgins Individual 5% Or Greater Direct Ownership InterestOwner Oct 28, 2022 8.13%
Madison Trust Company Organization, Sioux Falls, SD 5% Or Greater Direct Ownership Interest Oct 28, 2022 8.13%
Prafel Austin LLC Organization, Georgetown, TX LLC 5% Or Greater Direct Ownership Interest Oct 28, 2022 10%
Family Emergency Rooms LLC Organization, Cedar Park, TX LLC, Management services company Operational/Managerial Control Oct 28, 2022 100%
Rise Recovery Services, Inc Organization, San Antonio, TX Corporation 5% Or Greater Direct Ownership Interest Oct 28, 2022 37%
Royal Coachman Investments LLC Organization, Leander, TX LLC 5% Or Greater Direct Ownership Interest Oct 28, 2022 10%
The Ethan Family Trust Organization, Calabasas, CA 5% Or Greater Direct Ownership Interest Oct 28, 2022 10.5%
Ian Higgins Individual 5% Or Greater Direct Ownership Interest Oct 28, 2022 8.13%

Practitioners & affiliated clinicians

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1003539073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 E WHITESTONE BLVD STE 1101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139070",
            "telephone_number": "512-309-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502504",
            "telephone_number": "512-766-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANDERA FAMILY HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-260-2732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.