Bexar County ESD 4 outlines growth plan, ambulance rollout and costs for Fair Oaks Ranch

May 16, 2025

Emergency Service District 4 told the Fair Oaks Ranch council it is operating two 24/7 stations, has expanded personnel and equipment since 2020, started local ambulance service this year, and plans Station 135 and additional apparatus as development increases; ESD officials flagged uncertain ambulance reimbursement rates.

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Representatives of Bexar County Emergency Service District 4 (ESD 4) briefed the Fair Oaks Ranch City Council on May 15 about station locations, fleet acquisitions, staffing growth, and the launch of in-district ambulance service.

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