ORIGINS BIRTH SERVICES LLC NPI 1003211756

NPI Information

ORIGINS BIRTH SERVICES, LLC is a midwife lay in Fort Worth, TX. The provider is a person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. ORIGINS BIRTH SERVICES, LLC NPI is 1003211756. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Origins Birth And Wellness Collective.

The provider's business location address is:

10340 ALTA VISTA RD
SUITE 1A
FORT WORTH, TX
ZIP 76244-500
Phone: (817) 562-2828
Fax: (817) 768-6940

The provider's authorized official is Kaitlyn Elizabeth Wages .
The authorized official title is Midwife/owner and has the following contact phone number (817) 966-8075.

The CLIA number assigned to this NPI record is 45D2091330 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2014 and was last updated on 10/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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