Provider Demographics
NPI:1871765610
Name:SVAC
Entity type:Organization
Organization Name:SVAC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTRADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-954-2877
Mailing Address - Street 1:303 EL PASO ST
Mailing Address - Street 2:STE 207
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-5001
Mailing Address - Country:US
Mailing Address - Phone:210-954-2877
Mailing Address - Fax:210-223-3788
Practice Address - Street 1:303 EL PASO ST
Practice Address - Street 2:STE 207
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-5001
Practice Address - Country:US
Practice Address - Phone:210-954-2877
Practice Address - Fax:210-223-3788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies