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Organization

THE TYLER BIRTH HOUSE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER CARMODY LM, CPM (OWNER)
(903) 803-2229
Entity
Organization

Contact information

Practice address
514 S FANNIN AVE, TYLER, TX 75702-8203
(903) 803-2229
(903) 385-4195
Mailing address
514 S FANNIN AVE, TYLER, TX 75702-8203
(903) 803-2229
(903) 385-4195

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary

Other

Enumeration date
10/17/2021
Last updated
03/29/2022
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