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Organization

ENNIS MIDWIFERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRETCHEN ANN ORT LM (OWNER MIDWIFE)
(469) 688-8161
Entity
Organization

Contact information

Practice address
2507 PARK ST, ENNIS, TX 75119-7650
(469) 688-8161
(972) 449-1048
Mailing address
2507 PARK ST, ENNIS, TX 75119-7650
(469) 688-8161
(972) 449-1048

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Enumeration date
05/19/2020
Last updated
05/19/2020
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