Organization
CENTREVIDA BIRTH AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLIE FAITH BELTZ LM, CPM (SOLE MEMBER)
(512) 698-4132
Entity
Organization
Contact information
Practice address
7002 MANCHACA RD, SUITE 200, AUSTIN, TX 78745-5352
(512) 442-2229
Mailing address
7002 MANCHACA RD, SUITE 200, AUSTIN, TX 78745-5352
(512) 442-2229
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
150001
TX
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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