Provider Demographics
NPI:1932437506
Name:SABC PLLC
Entity Type:Organization
Organization Name:SABC PLLC
Other - Org Name:SAN ANTONIO BIRTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER/ASSOCIATE M
Authorized Official - Prefix:MS
Authorized Official - First Name:ALISA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:VOSS
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:210-593-0462
Mailing Address - Street 1:7272 WURZBACH RD
Mailing Address - Street 2:STE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-4802
Mailing Address - Country:US
Mailing Address - Phone:210-593-0462
Mailing Address - Fax:210-593-0410
Practice Address - Street 1:7272 WURZBACH RD STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-4802
Practice Address - Country:US
Practice Address - Phone:210-593-0462
Practice Address - Fax:210-593-0410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-19
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing