| NPI | 1083158141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNINE WATSON TATE, Owner/Certified Nurse Midwife 469-912-0727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center Birthing |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |