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NPI Code Detail

MEDICARE: KATY MIDWIFERY CO LLC

MEDICARE: KATY MIDWIFERY CO LLC
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
1261QB0400XBirthing Clinic/Center

General Provider Information

NPI Number : 1205771706
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATY MIDWIFERY CO LLC
Provider Business Mailing Address
First Line : 1002 AVENUE A
Second Line :
City : KATY
State : TX
Zip : 77493-2462
Country : US
Telephone Number : 832-437-5876
Fax Number : 888-375-3813
Provider Business Practice Location Address
First Line : 1002 AVENUE A
Second Line :
City : KATY
State : TX
Zip : 77493-2462
Country : US
Telephone Number : 832-437-5876
Fax Number : 888-375-3813
Authorized Official
Title or Position : OWNER / CLINICAL DIRECTOR
Name : SHANI RENEE DANIELS VAN PATTEN
Credential : LM, CPM
Telephone Number : 832-928-1869
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “KATY MIDWIFERY CO LLC ” Practice Location

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