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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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