Provider Demographics
NPI:1043633126
Name:SBK HOLDINGS, LLC
Entity Type:Organization
Organization Name:SBK HOLDINGS, LLC
Other - Org Name:RENEW HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:KOPECKI
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:512-667-6904
Mailing Address - Street 1:300 S CM ALLEN PKWY
Mailing Address - Street 2:STE 300A
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-6900
Mailing Address - Country:US
Mailing Address - Phone:512-667-6904
Mailing Address - Fax:512-667-7138
Practice Address - Street 1:300 S CM ALLEN PKWY
Practice Address - Street 2:STE 300A
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-6900
Practice Address - Country:US
Practice Address - Phone:512-667-6904
Practice Address - Fax:512-667-7138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332S00000X332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment