MEDICARE: MIDWIFERY ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QB0400X	Birthing Clinic/Center
2	261QB0400X	Birthing Clinic/Center	008501	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144216391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWIFERY ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 460988
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75046
Country	:	US
Telephone Number	:	972-278-2229
Fax Number	:	972-278-9065

Provider Business Practice Location Address
First Line	:	333 EAST CENTERVILLE RD.
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75041
Country	:	US
Telephone Number	:	972-278-2229
Fax Number	:	972-278-9065

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JOYCE NELSON
Credential	:	CNM
Telephone Number	:	972-278-2229

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	02/15/2012

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Directions to “MIDWIFERY ASSOCIATES ” Practice Location

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