Organization
BIRTHWISE BIRTH & FAMILY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL BULLOCK CPM (OWNER)
(512) 289-3798
Entity
Organization
Contact information
Practice address
1709 RIO GRANDE ST, AUSTIN, TX 78701-1123
(512) 289-3798
Mailing address
1709 RIO GRANDE ST, AUSTIN, TX 78701-1123
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99022
TX
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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