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Organization
MOTHERS' MILK BANK AT AUSTIN
Active
Organization
MOTHERS' MILK BANK AT AUSTIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY UPDEGROVE CNM, MPH, MSN (EXECUTIVE DIRECTOR)
(512) 494-0800
Entity
Organization
Contact information
Practice address
5925 DILLARD CIRCLE, AUSTIN, TX 78752
(512) 494-0800
(512) 494-0880
Mailing address
5925 DILLARD CIRCLE, AUSTIN, TX 78752
(512) 494-0800
(512) 494-0880
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057887-01
—
TX
Enumeration date
03/13/2007
Last updated
03/29/2021
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