Provider Demographics
NPI:1407488976
Name:BIRTH AND WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:BIRTH AND WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAUDAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:817-692-9228
Mailing Address - Street 1:1001 W RANDOL MILL RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-2513
Mailing Address - Country:US
Mailing Address - Phone:817-962-0004
Mailing Address - Fax:817-549-5430
Practice Address - Street 1:1001 W RANDOL MILL RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2513
Practice Address - Country:US
Practice Address - Phone:817-962-0004
Practice Address - Fax:817-549-5430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing