Organization
SBS LUXE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARUNDOLYN B SHAW (OWNER)
(469) 404-2277
Entity
Organization
Contact information
Practice address
13100 YELLOWSTONE WAY, PROVIDENCE VILLAGE, TX 76227-5629
(469) 404-2277
Mailing address
PO BOX 90, AUBREY, TX 76227-0249
(469) 404-2277
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/21/2025
Last updated
06/02/2025
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