Organization
HERITAGE MATERNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN REYNOSO LM, CPM (FOUNDER/ DIRECTOR)
(979) 571-4490
Entity
Organization
Contact information
Practice address
10387 TAYLOR RD, BRYAN, TX 77808-4139
(979) 571-4490
(979) 318-3477
Mailing address
10387 TAYLOR RD, BRYAN, TX 77808-4139
(979) 571-4490
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154016950
—
TX
05
—
1801421490
—
TX
Enumeration date
01/15/2024
Last updated
01/15/2024
Update your record
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