# PACHAMAMA BIRTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285964205
- **Authorized official:** MS. GURUBACHAN KHALSA LM, CPM (GENERAL PARTNER)
- **Authorized official phone:** (512) 858-0145

## Contact information

- **Practice address:** 700 PANORAMA DR, DRIPPING SPRINGS, TX 78620-2515
- **Practice address phone:** (512) 858-0415
- **Practice address fax:** (888) 863-8691
- **Mailing address:** 700 PANORAMA DR, DRIPPING SPRINGS, TX 78620-2515
- **Mailing address phone:** (512) 858-0415
- **Mailing address fax:** (888) 863-8691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2010
- **Last updated:** 01/14/2010