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NPI Code Detail

MEDICARE: SISTERS MIDWIFERY, INC.

MEDICARE: SISTERS MIDWIFERY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1176B00000XMidwife99040TX

General Provider Information

NPI Number : 1134301328
Entity Type Code : Organization
Provider Name (Legal Business Name) : SISTERS MIDWIFERY, INC.
Provider Business Mailing Address
First Line : 1210 ROSEWOOD AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78702-2023
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1210 ROSEWOOD AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78702-2023
Country : US
Telephone Number : 512-809-3132
Fax Number :
Authorized Official
Title or Position : MIDWIFE/DIRECTOR
Name : MS. ILLYSA RENE FOSTER
Credential : CPM. LM
Telephone Number : 512-809-3132
Provider Enumeration Date : 11/29/2007
Last Update Date : 06/18/2012

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Directions to “SISTERS MIDWIFERY, INC. ” Practice Location

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