Provider Demographics
NPI:1043633126
Name:SBK HOLDINGS, LLC
Entity type:Organization
Organization Name:SBK HOLDINGS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:KOPECKI
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:512-667-6904
Mailing Address - Street 1:1920 CORPORATE DR STE B205
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-6287
Mailing Address - Country:US
Mailing Address - Phone:512-667-6904
Mailing Address - Fax:512-667-7138
Practice Address - Street 1:1920 CORPORATE DR STE B205
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-6287
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:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QH0700X
TX332S00000X332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech