Provider Demographics
NPI:1013183912
Name:GENTLE BEGINNINGS BIRTHING CENTER
Entity Type:Organization
Organization Name:GENTLE BEGINNINGS BIRTHING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGGERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-479-0124
Mailing Address - Street 1:1817 HARWOOD CT
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-3190
Mailing Address - Country:US
Mailing Address - Phone:817-479-0124
Mailing Address - Fax:817-428-9451
Practice Address - Street 1:1817 HARWOOD CT
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3190
Practice Address - Country:US
Practice Address - Phone:817-479-0124
Practice Address - Fax:817-428-9451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty