Provider Demographics
NPI:1245758507
Name:THE NATURAL BIRTHING CENTER, LLC
Entity Type:Organization
Organization Name:THE NATURAL BIRTHING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:TALLBEAR
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED NURSE MIDW
Authorized Official - Phone:512-468-1419
Mailing Address - Street 1:705 BELMONT DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626
Mailing Address - Country:US
Mailing Address - Phone:512-818-6791
Mailing Address - Fax:512-819-1030
Practice Address - Street 1:1101 SATELLITE VIEW SUITE 104
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665
Practice Address - Country:US
Practice Address - Phone:512-818-6791
Practice Address - Fax:512-819-1030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX150057261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing