Healthcare Provider Details

I. General information

NPI: 1114609716
Provider Name (Legal Business Name): 3 SISTERS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2023
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6431 GHOLSON RD
WACO TX
76705-5330
US

IV. Provider business mailing address

6431 GHOLSON RD
WACO TX
76705-5330
US

V. Phone/Fax

Practice location:
  • Phone: 254-304-6648
  • Fax: 682-727-5957
Mailing address:
  • Phone: 254-304-6648
  • Fax: 682-727-5957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOYCELYN MARIE ROMERO
Title or Position: OWNER
Credential: CPM, LM
Phone: 254-342-5106