Organization
BIRTH AND WOMENS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERIE J. BOETTCHER CNM (DIRECTOR/CERTIFIED NURSE-MIDWIFE)
(214) 821-8190
Entity
Organization
Contact information
Practice address
3100 SWISS AVE, DALLAS, TX 75204-6025
(214) 821-8190
(214) 821-9040
Mailing address
3100 SWISS AVE, DALLAS, TX 75204-6025
(214) 821-8190
(214) 821-9040
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
2-48188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4451337
AETNA PROVIDER # - CNM
TX
01
—
4581569
AETNA PROVIDER ID - BWC
TX
01
—
86N553
BCBS ID # - CNM
TX
01
—
HH1606
BCBS PROVIDER ID - BWC
TX
Enumeration date
08/13/2006
Last updated
06/23/2008
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