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Organization

DAWN COCKRELL LM CPM

Active
Parent organization
WEST TEXAS BIRTH SERVICES
Other names
West Texas Birth Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST TEXAS BIRTH SERVICES
Authorized official
DAWN M. COCKRELL L.M., C.P.M (LICENSED MIDWIFE, ADMINISTRATOR)
(432) 563-3297
Entity
Organization

Contact information

Practice address
3602 SCR 1309, ODESSA, TX 79765-9656
(432) 563-3297
Mailing address
3602 S COUNTY ROAD 1309, ODESSA, TX 79765-9656
(432) 563-3297

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
01010
TX
174400000X
Specialist
04001R
NM
176B00000X
Midwife
Primary
01010
TX
176B00000X
Midwife
02030019
TX
176B00000X
Midwife
04001R
NM
261Q00000X
Clinic/Center
008332
TX
261QB0400X
Birthing Clinic/Center
008332
TX
261QF0050X
Non-Surgical Family Planning Clinic/Center
008332
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008332
LICENSED BIRTHING CENTER
TX
01
01010
PRACTITIONER LICENSE #
TX
01
02030019
CPM NUMBER
TX
01
04001R
PRACTITIONER LICENSE #
NM
01
1114987898
FACILITY NPI NUMBER
TX
Enumeration date
03/25/2006
Last updated
09/06/2023
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