MEDICARE: LYNNEECE MARIE ROONEY 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	461191	TX

General Provider Information

NPI Number	:	1902044282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNNEECE MARIE ROONEY C.N.M.

Provider Business Mailing Address
First Line	:	1430 SPILLERS LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-4137
Country	:	US
Telephone Number	:	281-536-8993
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 SPILLERS LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-4137
Country	:	US
Telephone Number	:	281-536-8993
Fax Number	:

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

Provider Enumeration Date	:	01/26/2009
Last Update Date	:	02/01/2013

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