Hill Country Homesteads Group logo

Enjoy this guide? Make HillCountryHomesteads.com a preferred source in your Google AI searches.

Hill Country landscape with emergency services directory content overlay for quick reference
Back to Insights
Insights · 18 min read

Published August 21, 2026

Hill Country Emergency Services Directory: ERs, Vets, Utilities, and Public Safety

A quick-reference guide to emergency rooms, hospitals, veterinarians, utility outages, public-safety contacts, flood resources, and crisis services for Kendall, Comal, Bandera, and northern Bexar County, plus regional referral hospitals in San Antonio.

Call 911 for life-threatening illness or injury, fire, an active crime, a dangerous gas leak, or an immediate flood rescue. This directory is for advance planning and non-911 contact information; it does not replace emergency dispatch or professional medical advice. Facility capabilities, hours, service areas, and telephone numbers can change, so use the linked official source when circumstances allow.

Emergency Rooms and Hospitals

When time matters, knowing which nearby facilities are freestanding emergency rooms and which are full-service hospitals can help with advance planning. The tables below cover facilities serving each county and regional referral hospitals in San Antonio. For a life-threatening emergency, call 911.

Urgent-care clinics treat many non-life-threatening illnesses and injuries but do not replace an emergency department. A freestanding ER is an emergency room, not an urgent-care clinic, and may use emergency-department or facility billing. When it is safe to do so, confirm the facility type and insurance arrangements. Never delay emergency care because of billing questions.

Kendall County (Boerne and Surrounding Areas)

Note

These are emergency rooms, but they are not substitutes for every service available at a full-service hospital or trauma center. For a serious or time-critical condition, call 911 and allow EMS to select the appropriate destination.

Comal County (New Braunfels and Surrounding Areas)

Canyon Lake Area

Canyon Lake area residents should plan for transport to the nearest Comal County facility or, for serious or time-critical conditions, call 911 and let EMS determine the most appropriate destination.

Bandera County

Facility Address Phone Facility Type / Notes
Methodist ER Helotes Helotes area (verify exact address with facility) 210-575-2285 Freestanding ER
Family Hospital at Bandera 8703 Bandera Rd, San Antonio 210-332-5460 Hospital/ER
Medina Regional Hospital Hondo area 830-426-7700 Hospital/ER
Methodist ER Boerne 134 Menger Springs, Boerne 830-331-3000 Freestanding ER

Note

For a serious or life-threatening condition, call 911 and allow EMS to determine the most appropriate destination and transport option.

North San Antonio and Regional Referral Hospitals

Facility Address Phone Facility Type / Notes
Methodist Hospital Stone Oak Stone Oak area, San Antonio 210-638-2000 Hospital/ER
North Central Baptist Hospital North San Antonio 210-297-4000 Hospital/ER
University Hospital San Antonio 210-358-4000 ACS-verified Level I adult and pediatric trauma center
Methodist Hospital San Antonio 210-575-4000 Hospital/ER

University Hospital operates an ACS-verified Level I pediatric trauma center and a pediatric burn program. The USAISR Burn Center at Brooke Army Medical Center accepts military and civilian burn patients. For a severe burn or serious pediatric injury, call 911. EMS or the treating emergency department should coordinate transfer to the appropriate specialty facility.

Veterinary Care

Veterinary availability and after-hours arrangements change. Confirm current hours and emergency coverage before you need them. For a pet emergency, call ahead to verify that the clinic can accept your animal.

Small Animal Vets

Clinic Address Phone Availability
Hill Country Animal Emergency Hospital 826 Johns Road, Boerne 830-510-3338 Overnight/weekend coverage
Boerne Veterinary Clinic Boerne 830-249-2141 Regular hours; call for emergency availability
New Braunfels Veterinary Clinic New Braunfels 830-625-8591 Regular hours; call for emergency availability
CanyonVet Canyon Lake area 830-964-3551 Regular hours; call for emergency availability
Startz Veterinary New Braunfels area 830-899-4900 Regular hours; call for emergency availability
Bandera Veterinary Clinic Bandera 830-796-3003 Regular hours; call for emergency availability
MissionVet Specialty & Emergency San Antonio 210-737-7373 24/7 equine emergency coverage; call immediately for instructions

Small-animal emergency hours and after-hours arrangements can change. Hill Country Animal Emergency Hospital provides overnight and weekend emergency coverage in Boerne, while MissionVet Specialty & Emergency is open 24/7 in San Antonio. Call before traveling when circumstances allow.

Large Animal Vets

Clinic Phone Availability
Kendall County Veterinary Center 830-336-2041 Call for availability and service area
San Antonio Equine Hospital 210-655-5585 24/7 equine emergency coverage; call immediately for instructions

Large-animal emergency coverage, field-call availability, and acceptance of new or non-client animals can change. Call before loading or transporting an animal. San Antonio Equine Hospital states that it offers 24/7 equine emergency coverage.

Antivenom availability varies, so call while preparing to leave if doing so will not delay transport.

Electric, Water, Gas, and Propane

Electric Utilities

Provider Phone Notes
Bandera Electric Cooperative (BEC) 866-226-3372 Outage reporting and member service
Pedernales Electric Cooperative (PEC) 888-883-3379 Outage/emergency
Pedernales Electric Cooperative (PEC) 888-554-4732 Member service
CPS Energy 210-353-4357 Electric or natural-gas emergency
GVEC 800-223-4832 Outage and member service
New Braunfels Utilities (NBU) 830-629-4628 Electric and water
City of Boerne Utilities 830-249-9511 option 1 (business hours) Electric and water; after hours: 830-248-1633

Propane

Provider Phone Notes
Ferrellgas 888-337-7355 General customer service; verify by address or account. For suspected leak, leave area and call 911.
Suburban Propane 800-776-7263 24/7/365 assistance. For suspected leak, evacuate before calling.

Gas leak safety

If you smell gas or hear a hissing sound near a propane tank or gas line, do not operate any electrical switch, phone, or vehicle near the area. Leave immediately, go to a safe location, and call 911. Then notify your propane provider from a safe distance.

Natural Gas

Provider Service 24/7 Emergency Contact / Billing
Grey Forest Utilities (GFU) Natural gas distribution and water utility 210-695-8781 billing@gfugas.com

Service area and note

Service area: Northwest Bexar County, including Fair Oaks Ranch, the Dominion, Helotes, Leon Valley, Alamo Ranch, and surrounding communities. GFU operates a 600-square-mile service area serving over 18,000 customers.

Physical address: 14570 Bandera Road, Helotes, TX 78023

Mailing address: PO Box 258, Helotes, TX 78023

Hours: Monday-Friday 8:00 AM - 5:00 PM; after-hours emergencies call 210-695-8781

Note: Grey Forest Utilities is a municipally owned utility operated by the City of Grey Forest. It provides natural gas distribution and water services to a large portion of northwest Bexar County. If you are unsure whether GFU serves your address, verify with the utility directly. A mailing address in Boerne, Helotes, or San Antonio does not confirm which utility serves a property.

Water Utilities

Provider Phone Notes
City of Boerne 830-249-9511 option 1 Business hours; after hours: 830-248-1633
New Braunfels Utilities (NBU) 830-629-4628 / 830-629-8400 Water and electric
San Antonio Water System (SAWS) 210-704-7297 Water emergency
City of Bandera 830-796-3765 Business hours; after hours: 830-328-9946
City of Fair Oaks Ranch 210-698-0900 Business hours; after hours: 830-249-8645

Rural properties and private wells

Properties outside municipal water service areas rely on private water wells. Well owners are responsible for their own water supply, pump maintenance, and water quality testing. For well-related issues, contact a licensed well driller or pump service company. See our guide to Hill Country wells and aquifers for more information.

Law Enforcement and Emergency Services

Sheriff's Offices

County Dispatch / Non-Emergency Admin Notes
Kendall County Sheriff 830-249-9721 (main) 830-249-8645 (dispatch) Serves unincorporated Kendall County and Boerne
Comal County Sheriff 830-620-3400 Serves unincorporated Comal County
Bandera County Sheriff 830-796-3771 (dispatch) 830-796-4323 (admin) Serves unincorporated Bandera County
Bexar County Sheriff 210-335-6000 Serves unincorporated Bexar County

City Police (Non-Emergency)

Department Address Non-Emergency Contact After Hours / Dispatch
Boerne Police 124 Old San Antonio Rd, Boerne 830-249-8645 Same as main
New Braunfels Police 3030 W. San Antonio St, New Braunfels 830-221-4100 Same as main
Bandera Marshal's Office 511 Main St, Bandera Admin: 830-460-7172 Dispatch: 830-796-3771
Bulverde Police Department 30263 Heimer Cove, Bulverde Admin: 830-438-3612 Dispatch: 830-620-3400
Fair Oaks Ranch Police 7286 Dietz Elkhorn, Fair Oaks Ranch Admin: 210-698-0990 After hours: 830-249-8645
San Antonio Police (SAPD) 210-207-7273 Non-emergency; for emergencies call 911

Jurisdiction note

City police departments handle calls within their city limits. Sheriff's offices handle unincorporated areas. When in doubt about jurisdiction, call the applicable sheriff's dispatch and they will direct you to the correct authority. For an emergency, always call 911 first.

Essential Emergency Hotlines

Service Phone
Emergency police, fire, or EMS 911
Poison Control 800-222-1222
988 Suicide and Crisis Lifeline 988
National Domestic Violence Hotline 800-799-7233
2-1-1 Texas 211
Texas Animal Health Commission (TAHC) 800-550-8242
TCEQ Environmental Complaints 888-777-3186
TCEQ Spill Reporting 800-832-8224
FEMA 800-621-3362
FEMA Helpline TTY 800-827-2885
Flood Mitigation Information Exchange (FMIX) 877-336-2627
Texas RioGrande Legal Aid (TRLA) 888-988-9996
Texas 811 (Call Before You Dig) 811

Flood Warnings and Road Closures

Hill Country flooding is driven by the region's Edwards Plateau limestone geology. Rainwater moves rapidly through fractures, caves, and solution channels in the karst limestone, producing flash flooding in low-water crossings and canyon bottoms with little to no warning. The National Weather Service recommends: "Turn around, don't drown." Never drive through moving water, and do not drive around barricades. The water depth may be deeper than it appears, and the road surface may be washed out.

County-specific resources for road closures and flood alerts:

  • Bexar County: BexarFlood.org — real-time flood monitoring and road closure maps
  • Kendall County: Kendall County Road & Bridge at 830-995-2995 for road condition reports
  • Comal County: Comal County Road Closures — road closure information
  • Bandera County: Bandera County Sheriff dispatch (830-796-3771) or Bandera County notices for road conditions
  • Statewide: DriveTexas.org — TxDOT statewide road conditions and closures
  • NWS Austin/San Antonio: weather.gov/ewx — forecasts, watches, warnings

Flood Preparedness Checklist

Before and During Flood Season

  • Know your flood zone: Check the FEMA Flood Insurance Rate Map (FIRM) for your property address at FEMA Map Service Center. Not every Hill Country property in a FEMA high-risk zone is rated or mapped accurately; this guide explains flood zones in detail.
  • Sign up for alerts: Register for your county's emergency notification system. Comal County: Emergency Notification System. Kendall County: Kendall County Alert. Bandera County: Bandera County Emergency Management.
  • Know your evacuation routes: Identify high-ground routes out of your area. Do not rely solely on GPS during a flood event. Have multiple exit routes planned.
  • Maintain an Emergency Supply Kit: Keep water, nonperishable food, medications, animal supplies, flashlights, batteries, first-aid kit, and other essentials sufficient for at least 72 hours. Store in a portable container that can be loaded quickly.
  • Private well safety after flooding: If floodwater reached your well, assume the water is contaminated. Do not drink or use the water until the well has been tested and disinfected by a licensed professional.
  • Septic system after flooding: Do not use the septic system if the drain field is saturated or flooded. Have the system inspected before resuming normal use to avoid backup or structural damage.
  • Generator safety: Operate portable generators outdoors only, at least 20 feet from any structure. Never run a generator inside a garage, basement, or crawl space. Carbon monoxide poisoning kills quickly and silently.
  • Propane tank safety after flooding: If a propane tank has been submerged, moved, or damaged by floodwater, have it inspected by a qualified professional before use. Do not attempt to operate valves or re-light pilot lights yourself.
  • Save offline access: Bookmark or download the county and utility emergency pages listed on this page while you have internet connectivity. During a widespread outage, websites may become slow or unavailable, and having critical numbers saved offline is essential.

Snakebite Guidance

Human Snakebites

If you or someone with you is bitten by a venomous snake in the Hill Country (including rattlesnakes, copperheads, and cottonmouths, sometimes called water moccasins):

  • Call 911 immediately
  • Call Poison Control at 800-222-1222 for guidance
  • Keep the victim calm and still; immobilize the affected limb at or below heart level
  • Remove jewelry or tight clothing near the bite site before swelling progresses
  • Do not cut the wound
  • Do not attempt to suck out venom
  • Do not apply a tourniquet or constriction band
  • Do not apply ice or heat directly to the wound
  • Do not attempt to catch or kill the snake for identification
  • Do not give the victim alcohol, caffeine, or any medication unless directed by a medical professional

Veterinary Snakebites

If your pet or livestock is bitten by a venomous snake, contact your veterinarian immediately. Keep the animal calm and restrict its movement as much as possible. Do not apply any home remedies, cut the wound, or attempt to suction. Transport the animal to the nearest veterinary facility that can handle the species and severity. Contact the veterinary clinic ahead of time so they can prepare. Antivenom may not be stocked at every clinic, so confirm availability during transport if doing so will not delay care.

Printable Quick-Reference Card

Save or print this card for your wallet, glove compartment, or emergency kit. The numbers below are the most frequently needed Hill Country emergency and public-service contacts.

Hill Country Emergency Quick Reference Card

Cut out or copy this section and keep it accessible.

Law Enforcement

Kendall County Sheriff Dispatch: 830-249-8645

Comal County Sheriff: 830-620-3400

Bandera County Sheriff Dispatch: 830-796-3771

Bexar County Sheriff: 210-335-6000

Boerne Police: 830-249-8645

Fair Oaks Ranch Police (after hours): 830-249-8645

Electric / Gas / Water

BEC: 866-226-3372

PEC Outage: 888-883-3379

CPS Energy: 210-353-4357

GVEC: 800-223-4832

City of Boerne Utilities (after hours): 830-248-1633

NBU: 830-629-4628

SAWS (water emergency): 210-704-7297

Ferrellgas: 888-337-7355

Suburban Propane: 800-776-7263

Texas 811 (Call Before You Dig): 811

Veterinary Emergencies

Hill Country Animal Emergency Hospital: 830-510-3338

MissionVet Specialty & Emergency: 210-737-7373

San Antonio Equine Hospital: 210-655-5585

Road and Weather Information

DriveTexas.org (road conditions)

weather.gov/ewx (NWS Austin/San Antonio forecasts and warnings)

BexarFlood.org (Bexar County flood monitoring)

Comal County Road Closures: comalcounty.gov/464/Road-Closures

Your Property-Specific Contacts

Electric provider: __________________ Phone: __________________

Water provider: __________________ Phone: __________________

Propane provider: __________________ Phone: __________________

Primary care vet: __________________ Phone: __________________

HOA/POA contact: __________________ Phone: __________________

Well service company: __________________ Phone: __________________

Septic service company: __________________ Phone: __________________

Sources and Verification Method

Methodology

This directory was compiled from official government websites, direct telephone verification, and published authoritative sources referenced below. Each telephone number and facility name was cross-checked against the provider's or agency's official website. Unofficial or third-party directories were not used. Due to the volume of entries, some information may become outdated after publication. Always confirm current contact information directly with the facility or agency before relying on it in an emergency.

  1. Methodist ER Boerne — Official Website. sahealth.com/locations/methodist-er-boerne
  2. Fair Oaks Emergency Room — Official Website. fairoaksemergency.com
  3. CHRISTUS Santa Rosa Hospital — Official Website. christushealth.org/santa-rosa
  4. Methodist ER New Braunfels — Official Website. sahealth.com/locations/methodist-er-new-braunfels
  5. First Priority ER — Official Website. firstpriorityer.com
  6. Methodist ER Bulverde — Official Website. sahealth.com/locations/methodist-er-bulverde
  7. Ally Medical ER San Marcos — Official Website. allymedicaler.com/locations/san-marcos
  8. Methodist ER Helotes — Official Website. sahealth.com/locations/methodist-er-helotes
  9. Family Hospital at Bandera — Official Website. faithfulhealth.com/locations/hospital-bandera
  10. Medina Regional Hospital — Official Website. medinaregionalhospital.com
  11. Methodist Hospital Stone Oak — Official Website. sahealth.com/locations/methodist-hospital-stone-oak
  12. North Central Baptist Hospital — Official Website. northcentralbaptist.com
  13. University Hospital — Official Website. universityhealthsystem.com/locations/university-hospital
  14. Methodist Hospital — Official Website. sahealth.com/locations/methodist-hospital-san-antonio
  15. Hill Country Animal Emergency Hospital — Official Website. hillcountryahec.com
  16. MissionVet Specialty & Emergency — Official Website. missionvet.com
  17. San Antonio Equine Hospital — Official Website. saequine.com
  18. Bandera Electric Cooperative (BEC) — Official Website. banderaelectric.com
  19. Pedernales Electric Cooperative (PEC) — Outage Center. mypec.com/pec-outage-center
  20. Pedernales Electric Cooperative (PEC) — Contact. mypec.com/contact
  21. CPS Energy — Contact. cpsenergy.com/en/customer-support/contact-us.html
  22. GVEC — Official Website. gvec.org
  23. New Braunfels Utilities — Official Website. nbutexas.com
  24. City of Boerne — Utilities. ci.boerne.tx.us
  25. City of Fair Oaks Ranch — Official Website. fairoaksranchtx.org
  26. San Antonio Water System — Contact. saws.org/contact
  27. Comal County — Road Closures. comalcounty.gov/464/Road-Closures
  28. National Weather Service Austin/San Antonio. weather.gov/ewx
  29. DriveTexas — Official TxDOT Road Conditions. drivetexas.org
  30. BexarFlood — Bexar County Flood Monitoring. bexarflood.org
  31. Ferrellgas — Contact. ferrellgas.com/contact-us
  32. Suburban Propane — Customer Support. suburbanpropane.com/contact-us/existing-customer
  33. Texas Poison Control Network. poisoncontrol.org
  34. 988 Suicide and Crisis Lifeline. 988lifeline.org
  35. National Domestic Violence Hotline. thehotline.org
  36. 2-1-1 Texas. 211texas.org
  37. Texas Animal Health Commission. tahc.texas.gov
  38. TCEQ — Environmental Complaints. tceq.texas.gov/complaints
  39. TCEQ — Spill Reporting. tceq.texas.gov/response/spills
  40. FEMA — Contact. fema.gov/about/contact
  41. Texas 811. texas811.org
  42. Texas RioGrande Legal Aid. trla.org

This directory provides contact information for essential services in the Hill Country. Phone numbers, hours, and service areas change without notice. Always verify current information before relying on it in an emergency. For life-threatening emergencies, dial 911. Bill Ross is a licensed Texas real estate agent, not an emergency medical professional, law enforcement officer, or utility provider.

Last verified: August 21, 2026


Published August 21, 2026

Updated August 21, 2026

More in Insights
Have a Question?

Get direct answers about your Hill Country property move

No scripts. No generic emails. Just a direct conversation about your situation and the real options available.

Contact Bill Ross