Organization
BABIES 411 LLC
Active
Other names
My Pure Delivery
Organization subpart
No
Provider details
NPI number
Authorized official
DIBA AZIN TILLERY RN, IBCLC (OWNER)
(512) 765-9959
Entity
Organization
Contact information
Practice address
301 BRUSHY CREEK RD, STE 106, CEDAR PARK, TX 78613-3151
(512) 765-9959
Mailing address
9311 N FM 620 RD, # 247, AUSTIN, TX 78726-4129
(512) 765-9959
(888) 227-7057
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
Other
Enumeration date
04/29/2015
Last updated
05/19/2021
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