Healthcare Provider Details

I. General information

NPI: 1811502255
Provider Name (Legal Business Name): LOTUS COMMUNITY BIRTHING CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2020
Last Update Date: 09/12/2020
Certification Date: 09/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13805 ANN PL APT B
AUSTIN TX
78728-7742
US

IV. Provider business mailing address

11403 HORNSBY ST
AUSTIN TX
78753-2627
US

V. Phone/Fax

Practice location:
  • Phone: 512-736-4591
  • Fax: 512-957-2702
Mailing address:
  • Phone: 512-736-4591
  • Fax: 512-957-2702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VARSHNA NARUMANCHI
Title or Position: OWNER,
Credential: LM
Phone: 512-736-4591