MEDICARE: MS. PAULA XIMENA ROJAS L.M.

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	176B00000X	Midwife	99234	TX

General Provider Information

NPI Number	:	1952772600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAULA XIMENA ROJAS L.M.

Provider Business Mailing Address
First Line	:	2004 CANTERBURY ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-5533
Country	:	US
Telephone Number	:	512-563-3113
Fax Number	:	512-717-7232

Provider Business Practice Location Address
First Line	:	2004 CANTERBURY ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-5533
Country	:	US
Telephone Number	:	512-563-3113
Fax Number	:	512-717-7232

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2015
Last Update Date	:	10/07/2015

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