1) The Governor shall appoint one (1) director, who shall serve as the presiding officer of the Board. University Health's Board of Managers makes four appointments to the Center Board of.Gov or 800-252-9121 or write to us at Texas. Bexar County is one of the fastest growing regions in the state. Changes take effect on the first day of the month. The case of Ramisch vs. At the same time, the County Tax Assessor-Collector serves as an ex officio member.