Healthcare Provider Details

I. General information

NPI: 1639073075
Provider Name (Legal Business Name): CARLINA YORK CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 E 32ND ST
AUSTIN TX
78705-2703
US

IV. Provider business mailing address

1404 MEADOWSOUTH LN
AUSTIN TX
78748-2399
US

V. Phone/Fax

Practice location:
  • Phone: 512-544-7111
  • Fax:
Mailing address:
  • Phone: 512-633-5950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: