Organization
MANOR BIRTH SANCTUARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA MEINHARDT CPM, LM (ADMINISTRATOR)
(512) 653-7892
Entity
Organization
Contact information
Practice address
7103 WELLS TRCE, MANOR, TX 78653-4155
(512) 653-7892
Mailing address
7103 WELLS TRCE, MANOR, TX 78653-4155
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414826301
—
TX
Enumeration date
09/02/2022
Last updated
09/02/2022
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