MEDICARE: THEODORAH DEFRANCESCO C.N.M

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	367A00000X	Advanced Practice Midwife	5520 6	TX

General Provider Information

NPI Number	:	1437144581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THEODORAH DEFRANCESCO C.N.M

Provider Business Mailing Address
First Line	:	2 GREENWAY PLZ STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77046-0207
Country	:	US
Telephone Number	:	832-828-3660
Fax Number	:

Provider Business Practice Location Address
First Line	:	6651 MAIN ST
Second Line	:	SUITE F.1500
City	:	HOUSTON
State	:	TX
Zip	:	77030-2351
Country	:	US
Telephone Number	:	832-824-1000
Fax Number	:

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	06/24/2013

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Directions to “ THEODORAH DEFRANCESCO C.N.M” Practice Location

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