MEDICARE: MS. ANNA MONICA CAFFREY CPM, LM

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
1	176B00000X	Midwife	99179	TX

General Provider Information

NPI Number	:	1164868741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNA MONICA CAFFREY CPM, LM

Provider Business Mailing Address
First Line	:	4420 FEAGAN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-7323
Country	:	US
Telephone Number	:	915-319-6487
Fax Number	:

Provider Business Practice Location Address
First Line	:	2218 BARBEE ST
Second Line	:	THE BIRTHING PLACE
City	:	HOUSTON
State	:	TX
Zip	:	77004-5212
Country	:	US
Telephone Number	:	713-643-9433
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2013
Last Update Date	:	05/22/2013

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