Provider Demographics
NPI:1104367077
Name:SHBC GROUP LLC
Entity Type:Organization
Organization Name:SHBC GROUP LLC
Other - Org Name:7 MED GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:VERDON
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:830-358-2028
Mailing Address - Street 1:1659 STATE HWY 46 WEST STE 115 NO 451
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4745
Mailing Address - Country:US
Mailing Address - Phone:830-358-2028
Mailing Address - Fax:830-302-7996
Practice Address - Street 1:1659 STATE HWY 46 WEST STE 115 NO 451
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4745
Practice Address - Country:US
Practice Address - Phone:830-358-2028
Practice Address - Fax:830-302-7996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA00009363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty