Provider Demographics
NPI:1225396542
Name:BIRTH CENTER STONE OAK LLC
Entity Type:Organization
Organization Name:BIRTH CENTER STONE OAK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:BROCK
Authorized Official - Last Name:ARANIBAR
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:210-273-0043
Mailing Address - Street 1:27031 GRANITE PATH
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-1951
Mailing Address - Country:US
Mailing Address - Phone:210-273-0043
Mailing Address - Fax:210-481-0992
Practice Address - Street 1:21708 HARDY OAK BLVD
Practice Address - Street 2:#102
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4859
Practice Address - Country:US
Practice Address - Phone:210-481-7549
Practice Address - Fax:210-481-7562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing