Organization
DFW COMMUNITY BIRTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JEAN FEWELL LM, CPM (CO-OWNER)
(214) 699-8659
Entity
Organization
Contact information
Practice address
4612 GASTON AVE, DALLAS, TX 75246-1010
(214) 699-8659
Mailing address
4612 GASTON AVE, DALLAS, TX 75246-1010
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932637113
—
TX
Enumeration date
08/08/2024
Last updated
08/08/2024
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