Organization
OPEN ARMS BIRTHING AND WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE LAKE (ADMINISTRATOR)
(512) 567-9063
Entity
Organization
Contact information
Practice address
4025 MANCHACA RD, AUSTIN, TX 78704-6737
(512) 567-9063
Mailing address
4025 MANCHACA RD, AUSTIN, TX 78704-6737
(512) 567-9063
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295211084
—
TX
05
—
1477668648
—
TX
Enumeration date
11/06/2018
Last updated
11/06/2018
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