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NPI Code Detail

MEDICARE: BIRTH AND WOMENS CENTER

MEDICARE: BIRTH AND WOMENS CENTER
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
1176B00000XMidwife2-48188TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HH1606OTHERTXBCBS PROVIDER ID - BWC
24451337OTHERTXAETNA PROVIDER # - CNM
34581569OTHERTXAETNA PROVIDER ID - BWC
486N553OTHERTXBCBS ID # - CNM

General Provider Information

NPI Number : 1629080007
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIRTH AND WOMENS CENTER
Provider Business Mailing Address
First Line : 3100 SWISS AVE
Second Line :
City : DALLAS
State : TX
Zip : 75204-6025
Country : US
Telephone Number : 214-821-8190
Fax Number : 214-821-9040
Provider Business Practice Location Address
First Line : 3100 SWISS AVE
Second Line :
City : DALLAS
State : TX
Zip : 75204-6025
Country : US
Telephone Number : 214-821-8190
Fax Number : 214-821-9040
Authorized Official
Title or Position : DIRECTOR/CERTIFIED NURSE-MIDWIFE
Name : CHERIE J. BOETTCHER
Credential : CNM
Telephone Number : 214-821-8190
Provider Enumeration Date : 08/13/2006
Last Update Date : 06/23/2008

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Directions to “BIRTH AND WOMENS CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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