Individual
PAYTON HAYLIE BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA, PPD, CBE
Contact information
Practice address
4201 BOAT CLUB RD, FORT WORTH, TX 76135-2602
(817) 888-2172
Mailing address
4201 BOAT CLUB RD, FORT WORTH, TX 76135-2602
(817) 888-2172
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
TX
174N00000X
Lactation Consultant (Non-RN)
—
TX
374J00000X
Doula
Primary
—
TX
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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