Organization
GRAPEVINE BIRTHING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DALY LM, CPM (OWNER/MIDWIFE)
(214) 563-7410
Entity
Organization
Contact information
Practice address
409 W WALL ST, GRAPEVINE, TX 76051-5203
(214) 563-7410
Mailing address
409 W WALL ST, GRAPEVINE, TX 76051-5203
(214) 563-7410
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
150036
TX
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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