Organization Active NPI

Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • Diagnostic Radiology Physician
  • Marble Falls, TX
National Provider Identifier
1033823828
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.
Practice address
801 Steve Hawkins Pkwy Ste 100
Marble Falls, TX 78654-6303
Phone
(830) 990-5871
NPI assigned
Jan 6, 2023
Last updated
Jan 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Enrique Bernal
Title
Division Cfo
Phone
(210) 575-0235

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU
Physiological Laboratory 293D00000X NU
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

801 Steve Hawkins Pkwy Ste 100
Marble Falls, TX 78654-6303

Mailing address

801 Steve Hawkins Pkwy Ste 100
Marble Falls, TX 78654-6303
Phone (830) 990-5871

National Provider Directory

National Provider Directory
Tax ID family
San Antonio Regional Ho35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

801 Steve Hawkins Pkwy
Ste 100
Marble Falls, TX 78654
Phone (512) 339-4040

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1033823828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 STEVE HAWKINS PKWY STE 100",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546303",
            "telephone_number": "830-990-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 STEVE HAWKINS PKWY STE 100",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546303",
            "telephone_number": "830-990-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "BERNAL",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "DIVISION CFO",
        "authorized_official_telephone_number": "210-575-0235"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marble Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.