Healthcare Provider Details
I. General information
NPI: 1770985848
Provider Name (Legal Business Name): BIRTHING BABY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2014
Last Update Date: 09/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25618 FOSTER BRIDGE LN
KATY TX
77494-2341
US
IV. Provider business mailing address
25618 FOSTER BRIDGE LN
KATY TX
77494-2341
US
V. Phone/Fax
- Phone: 832-600-5171
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374J00000X |
| Taxonomy | Doula |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 176B00000X |
| Taxonomy | Midwife |
| License Number | 99180 |
| License Number State | TX |
VIII. Authorized Official
Name:
SHERRY
S
RUMSEY
Title or Position: PRESIDENT
Credential: LM, CPM
Phone: 832-600-5171