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Organization

LABOR OF LOVE BIRTH CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VICKY MARIE WELLS CPM,LM (PRESIDENT/CO-OWNER)
(903) 526-2600
Entity
Organization

Contact information

Practice address
421 S BONNER AVE, TYLER, TX 75702-8034
(903) 526-2600
(903) 526-2605
Mailing address
421 S BONNER AVE, TYLER, TX 75702-8034
(903) 526-2600
(903) 526-2605

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
008716
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3338055
TX
Enumeration date
11/05/2008
Last updated
06/14/2016
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