Healthcare Provider Details

I. General information

NPI: 1740585140
Provider Name (Legal Business Name): SBC VENTURES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2011
Last Update Date: 08/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7410 BLANCO RD SUITE 200
SAN ANTONIO TX
78216-4363
US

IV. Provider business mailing address

7410 BLANCO RD SUITE 200
SAN ANTONIO TX
78216-4363
US

V. Phone/Fax

Practice location:
  • Phone: 830-632-2311
  • Fax: 830-632-2313
Mailing address:
  • Phone: 830-632-2311
  • Fax: 830-632-2313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STEVE COVINGTON
Title or Position: PRESIDENT
Credential:
Phone: 830-632-2311