Provider Demographics
NPI:1164868741
Name:CAFFREY, ANNA MONICA (CPM, LM)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:MONICA
Last Name:CAFFREY
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4420 FEAGAN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-7323
Mailing Address - Country:US
Mailing Address - Phone:915-319-6487
Mailing Address - Fax:
Practice Address - Street 1:2218 BARBEE ST
Practice Address - Street 2:THE BIRTHING PLACE
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5212
Practice Address - Country:US
Practice Address - Phone:713-643-9433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99179176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife