Organization
HIS SACRED PATH MIDWIFERY
Active
Organization
HIS SACRED PATH MIDWIFERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAEVE NORTHCROSS (ADMIN)
(816) 629-0722
Entity
Organization
Contact information
Practice address
350 N SAINT PAUL ST APT 2610, DALLAS, TX 75201-4224
(817) 629-0722
Mailing address
350 N SAINT PAUL ST APT 2610, DALLAS, TX 75201-4224
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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