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NPI Code Detail

MEDICARE: HIDE-A-WAY WOMEN'S HEALTH AND BIRTH CENTER

MEDICARE: HIDE-A-WAY WOMEN'S HEALTH AND BIRTH CENTER
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/Center007191TX

General Provider Information

NPI Number : 1720088644
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIDE-A-WAY WOMEN'S HEALTH AND BIRTH CENTER
Provider Business Mailing Address
First Line : 14665 FM 849
Second Line :
City : LINDALE
State : TX
Zip : 75771-2440
Country : US
Telephone Number : 903-882-4730
Fax Number : 903-881-8319
Provider Business Practice Location Address
First Line : 14665 FM 849
Second Line :
City : LINDALE
State : TX
Zip : 75771-2440
Country : US
Telephone Number : 903-882-4730
Fax Number : 903-881-8319
Authorized Official
Title or Position : ADMINSTRATOR
Name : MS. GEORGIA BUTLER
Credential : CNM
Telephone Number : 903-882-4730
Provider Enumeration Date : 07/21/2005
Last Update Date : 08/22/2020

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Directions to “HIDE-A-WAY WOMEN'S HEALTH AND BIRTH CENTER ” 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.

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