Healthcare Provider Details

I. General information

NPI: 1528508546
Provider Name (Legal Business Name): WICHITA FALLS BIRTH CONSULTANTS, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2017
Last Update Date: 04/05/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 BROOK AVE
WICHITA FALLS TX
76301
US

IV. Provider business mailing address

2001 BROOK AVE
WICHITA FALLS TX
76301
US

V. Phone/Fax

Practice location:
  • Phone: 940-285-5052
  • Fax: 855-286-8120
Mailing address:
  • Phone: 940-642-7844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: DR. CARI GUIDRY
Title or Position: OWNER
Credential: D.C.
Phone: 940-642-7844