Organization
SISTERS MIDWIFERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ILLYSA RENE FOSTER CPM. LM (MIDWIFE/DIRECTOR)
(512) 809-3132
Entity
Organization
Contact information
Practice address
1210 ROSEWOOD AVE, AUSTIN, TX 78702-2023
(512) 809-3132
Mailing address
1210 ROSEWOOD AVE, AUSTIN, TX 78702-2023
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99040
TX
Other
Enumeration date
11/29/2007
Last updated
06/18/2012
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