Organization
PLANO BIRTH PLACE
Active
Organization
PLANO BIRTH PLACE
Active
Other names
Plano Birthplace
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE WATSON TATE, MSN, RN, CNM (OWNER/CERTIFIED NURSE MIDWIFE)
(469) 912-0727
Entity
Organization
Contact information
Practice address
5172 VILLAGE CREEK DR STE 101, PLANO, TX 75093-4444
(469) 912-0727
Mailing address
5172 VILLAGE CREEK DR STE 101, PLANO, TX 75093-4444
(469) 912-0727
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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