Provider Demographics
NPI:1376835504
Name:BEAUTIFUL BEGINNINGS BIRTH & WOMEN'S CENTER
Entity Type:Organization
Organization Name:BEAUTIFUL BEGINNINGS BIRTH & WOMEN'S CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PROUTY
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:972-533-6190
Mailing Address - Street 1:1614 MISTLETOE BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4012
Mailing Address - Country:US
Mailing Address - Phone:972-533-6190
Mailing Address - Fax:469-361-6687
Practice Address - Street 1:1614 MISTLETOE BLVD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4012
Practice Address - Country:US
Practice Address - Phone:972-533-6190
Practice Address - Fax:469-361-6687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing