Provider Demographics
NPI:1740585140
Name:SBC VENTURES CORPORATION
Entity Type:Organization
Organization Name:SBC VENTURES CORPORATION
Other - Org Name:BRIGHTSTAR OF NEW BRAUNFELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:COVINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-632-2311
Mailing Address - Street 1:7410 BLANCO RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4363
Mailing Address - Country:US
Mailing Address - Phone:830-632-2311
Mailing Address - Fax:830-632-2313
Practice Address - Street 1:7410 BLANCO RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4363
Practice Address - Country:US
Practice Address - Phone:830-632-2311
Practice Address - Fax:830-632-2313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-14
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX280593901Medicaid
TX280593902Medicaid