Provider Demographics
NPI:1174935878
Name:HOUSTON BIRTH SERVICES, INC
Entity type:Organization
Organization Name:HOUSTON BIRTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:MIRANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLINNER
Authorized Official - Suffix:
Authorized Official - Credentials:LM CPM
Authorized Official - Phone:281-319-6262
Mailing Address - Street 1:18106 STONE ANGEL DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3502
Mailing Address - Country:US
Mailing Address - Phone:281-319-6262
Mailing Address - Fax:281-852-6114
Practice Address - Street 1:503 N AVENUE H
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3850
Practice Address - Country:US
Practice Address - Phone:281-319-6262
Practice Address - Fax:281-852-6114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96056176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty