Healthcare Provider Details

I. General information

NPI: 1588287007
Provider Name (Legal Business Name): THE BUMP BIRTHING CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 05/19/2020
Certification Date: 05/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7905 LIBERTY GROVE RD
ROWLETT TX
75089-2311
US

IV. Provider business mailing address

7905 LIBERTY GROVE RD
ROWLETT TX
75089-2311
US

V. Phone/Fax

Practice location:
  • Phone: 940-642-8317
  • Fax: 855-822-0323
Mailing address:
  • Phone: 940-642-8317
  • Fax: 855-822-0323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: KASIE M MCELHANEY
Title or Position: MIDWIFE/OWNER
Credential: LM, CPM
Phone: 940-642-8317