# KATY BIRTH CENTER, LLC

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

## Provider details

- **NPI number:** 1861755282
- **Authorized official:** MRS. CONNIE ROBBIN BLOKKUM RN, CNM, ICBLC (DIRECTOR)
- **Authorized official phone:** (832) 437-5876

## Contact information

- **Practice address:** 1002 AVENUE A, KATY, TX 77493-2462
- **Practice address phone:** (832) 437-5876
- **Practice address fax:** (281) 391-9081
- **Mailing address:** 1002 AVENUE A, KATY, TX 77493-2462
- **Mailing address phone:** (832) 437-5876
- **Mailing address fax:** (281) 391-9081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 256351 | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | 256351 | — | Yes |

## Other

- **Enumeration date:** 06/20/2012
- **Last updated:** 06/20/2012