Healthcare Provider Details

I. General information

NPI: 1871387225
Provider Name (Legal Business Name): ROSE CITY BIRTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 SHILOH RD
TYLER TX
75703-2612
US

IV. Provider business mailing address

514 S FANNIN AVE
TYLER TX
75702-8203
US

V. Phone/Fax

Practice location:
  • Phone: 903-803-2229
  • Fax: 903-385-4195
Mailing address:
  • Phone:
  • Fax:

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: HEATHER N ADAMS
Title or Position: CEO
Credential: LM, CPM
Phone: 903-803-2229