NPIMap

Organization Active NPI

Bexar County Board of Trustees for Mental Health Mental Retardation

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1679948392
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BEXAR COUNTY BOARD OF TRUSTEES FOR MENTAL HEALTH MENTAL RETARDATION
Practice address
6800 Park Ten Blvd
Suite 200-S
San Antonio, TX 78213-4211
Phone
(210) 261-1000
Fax
(210) 261-1821
NPI assigned
Dec 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Eugene Garcia
Title
Credentialing Supervisor
Phone
(210) 261-1072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6800 Park Ten Blvd
Suite 200-S
San Antonio, TX 78213-4211

Mailing address

6800 Park Ten Blvd
Suite 200-S
San Antonio, TX 78213-4211
Phone (210) 261-1000

Other identifiers 1

IdentifierTypeStateIssuer
00P741OtherTXMEDICARE ID

Other names 1

  • The Center for Health Care Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031215000906 TX Part B Supplier - Clinic/Group Practice 5496652760 Receives reassigned benefits from 212 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Antonio, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bexar County MHMR Board of Trustees10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

601 N Frio St
#2
San Antonio, TX 78207
Phone (210) 246-1300

227 W Drexel Ave
Bldg A
San Antonio, TX 78210
Phone (210) 261-1250

1 Haven For Hope Way
San Antonio, TX 78207
Phone (210) 220-2330

1954 E Houston St
Rm 204
San Antonio, TX 78202

2711 Palo Alto Rd
San Antonio, TX 78211
Phone (210) 261-3200

Practitioners & affiliated clinicians

Practitioners 146

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 146

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1679948392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD",
            "address_2": "SUITE 200-S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134211",
            "telephone_number": "210-261-1000",
            "fax_number": "210-261-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD",
            "address_2": "SUITE 200-S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134211",
            "telephone_number": "210-261-1000",
            "fax_number": "210-261-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEXAR COUNTY BOARD OF TRUSTEES FOR MENTAL HEALTH MENTAL RETARDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "210-261-1072"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00P741",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Center for Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.