Organization
REVOLUTION BIRTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY K COCHRAN LM, CPM (OWNER)
(512) 843-1715
Entity
Organization
Contact information
Practice address
404 N MAIN STREET, BELTON, TX 76513
(512) 843-1715
(254) 523-4829
Mailing address
404 N MAIN STREET, BELTON, TX 76513
(512) 843-1715
(254) 523-4829
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
261QB0400X
Birthing Clinic/Center
Primary
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063915668
NPI
—
01
—
1811511785
NPI
—
Enumeration date
03/22/2021
Last updated
12/29/2023
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