ORIGINS BIRTH AND WELLNESS DALLAS NPI 1477047116

NPI Information

ORIGINS BIRTH AND WELLNESS DALLAS is a birthing clinic center in Dallas, TX. The provider is a freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. ORIGINS BIRTH AND WELLNESS DALLAS NPI is 1477047116. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3100 SWISS AVE
DALLAS, TX
ZIP 75204
Phone: (214) 228-1392

The provider's authorized official is Amethyst Fagan Tate .
The authorized official title is Midwife and has the following contact phone number (214) 228-1392.

The CLIA number assigned to this NPI record is 45D2153629 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2018 and was last updated on 4/17/2019.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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