Healthcare Provider Details
I. General information
NPI: 1033585948
Provider Name (Legal Business Name): JOB ADVENTURES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2015
Last Update Date: 08/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4606 CENTERVIEW STE 200
SAN ANTONIO TX
78228-1205
US
IV. Provider business mailing address
PO BOX 245
FLORESVILLE TX
78114-0245
US
V. Phone/Fax
- Phone: 210-446-4480
- Fax: 210-446-4479
- Phone: 210-446-4480
- Fax: 210-446-4479
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
OLIVIA
STURGESS
Title or Position: DIRECTOR
Credential:
Phone: 210-400-5833