Healthcare Provider Details
I. General information
NPI: 1477851376
Provider Name (Legal Business Name): SBMC HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/02/2011
Last Update Date: 03/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8850 LONG POINT RD
HOUSTON TX
77055-3006
US
IV. Provider business mailing address
6060 RICHMOND AVE SUITE 315
HOUSTON TX
77057-6227
US
V. Phone/Fax
- Phone: 713-467-6555
- Fax: 713-722-3771
- Phone: 713-953-1055
- Fax: 713-953-1059
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | 000421 |
| License Number State | TX |
VIII. Authorized Official
Name:
RICHARD
STUART
GARFINKEL
Title or Position: ATTORNEY/LEGAL COUNSEL
Credential:
Phone: 713-953-1055