DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AMETHYST FAGAN TATE CPM

MEDICARE: AMETHYST FAGAN TATE CPM
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
1176B00000XMidwife99337TX

General Provider Information

NPI Number : 1447744198
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMETHYST FAGAN TATE CPM
Provider Business Mailing Address
First Line : 4100 SWISS AVE
Second Line :
City : DALLAS
State : TX
Zip : 75204-6661
Country : US
Telephone Number : 214-228-1392
Fax Number : 214-764-0885
Provider Business Practice Location Address
First Line : 4100 SWISS AVE
Second Line :
City : DALLAS
State : TX
Zip : 75204-6661
Country : US
Telephone Number : 214-228-1392
Fax Number : 214-764-0885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2018
Last Update Date : 01/31/2023

Similar Medicare Providers

1437007796 — SOPHIE MCCANNON ANDERSON FNP
Practice Location Address:
4100 SWISS AVE
DALLAS, TX
75204-6661
Practice Phone: 214-774-9000
Practice Fax:
1073147971 — ALYSSA NICOLE PERI IBCLC
Practice Location Address:
4100 SWISS AVE
DALLAS, TX
75204-6661
Practice Phone: 972-694-1429
Practice Fax:
1346992690 — DR. NICOLE RIVERA MORALES DC
Practice Location Address:
4100 SWISS AVE
DALLAS, TX
75204-6661
Practice Phone: 469-625-1502
Practice Fax:
1205585718 — BRITTNEY LEAH C LAY CPM
Practice Location Address:
4100 SWISS AVE
DALLAS, TX
75204-6661
Practice Phone: 214-774-9000
Practice Fax: 214-764-0885
1982347779 — BREASTFEEDING COUNSELOR
Practice Location Address:
4100 SWISS AVE
DALLAS, TX
75204-6661
Practice Phone: 972-694-1429
Practice Fax:
1528703576 — ILLUMIN8 CHIROPRACTIC EAST DALLAS
Practice Location Address:
4100 SWISS AVE
DALLAS, TX
75204-6661
Practice Phone: 469-625-1502
Practice Fax:

Directions to “ AMETHYST FAGAN TATE CPM” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.