=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093349821
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL ABOUT BABIES ARGYLE BIRTH CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2020
-----------------------------------------------------
Last Update Date | 03/02/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 305 E FM 1830
-----------------------------------------------------
City | ARGYLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76226-4317
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-653-2229
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 305 E FM 1830
-----------------------------------------------------
City | ARGYLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76226-4317
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-653-2229
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/RECEPTIONIST
-----------------------------------------------------
Name | ANITA GRAMES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 972-653-2229
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QB0400X
-----------------------------------------------------
Taxonomy Name | Birthing Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------