Organization
DIVINE DESIGN BIRTH CENTER
Active
Organization
DIVINE DESIGN BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ROLLINS MILLER LM, CPM (OWNER)
(325) 703-1456
Entity
Organization
Contact information
Practice address
428 W 34TH ST, SAN ANGELO, TX 76903-2324
(325) 703-1456
(817) 345-3533
Mailing address
428 W 34TH ST, SAN ANGELO, TX 76903-2324
(325) 703-1456
(817) 345-3533
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
150040
TX
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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