Organization
INANNA BIRTH & WOMEN'S CARE, INC
Active
Organization
INANNA BIRTH & WOMEN'S CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNNE PEWTERBAUGH (SECRETARY/OFFICE MANAGER)
(940) 483-1569
Entity
Organization
Contact information
Practice address
1823 N LOCUST ST, DENTON, TX 76201-3069
(940) 483-1569
(940) 483-1570
Mailing address
1823 N LOCUST ST, DENTON, TX 76201-3069
(940) 483-1569
(940) 483-1570
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
004943
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004943
STATE LICENSE
TX
01
—
HH1615
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/13/2006
Last updated
08/22/2020
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