Provider Demographics
NPI:1548823263
Name:BEXAR COUNTY EMERGENCY SERVICES DISTRICT NUMBER TWO
Entity type:Organization
Organization Name:BEXAR COUNTY EMERGENCY SERVICES DISTRICT NUMBER TWO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:MONTGOMERY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, LP
Authorized Official - Phone:210-556-4466
Mailing Address - Street 1:14515 OMICRON DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-4299
Mailing Address - Country:US
Mailing Address - Phone:210-688-2406
Mailing Address - Fax:210-688-2116
Practice Address - Street 1:14515 OMICRON DR.
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245
Practice Address - Country:US
Practice Address - Phone:210-688-2406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes341600000XTransportation ServicesAmbulanceGroup - Single Specialty