Organization
BIRTHWISE BIRTH AND FAMILY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL BULLOCK (OWNER)
(512) 374-9592
Entity
Organization
Contact information
Practice address
1709 RIO GRANDE ST, AUSTIN, TX 78701-1123
(512) 374-9592
(866) 416-2062
Mailing address
1709 RIO GRANDE ST, AUSTIN, TX 78701-1123
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
99022
TX
261QB0400X
Birthing Clinic/Center
Primary
008354
TX
Other
Enumeration date
05/10/2012
Last updated
10/20/2012
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