| NPI | 1477047116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMETHYST FAGAN TATE Midwife 214-228-1392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
| Additional Taxonomies | 176B00000X Midwife (Licence: TX 99337) |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2019-04-17 |