Provider Demographics
NPI:1427382951
Name:FORT WORTH/DALLAS BIRTHING PROJECT
Entity Type:Organization
Organization Name:FORT WORTH/DALLAS BIRTHING PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:PARISH
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-390-2821
Mailing Address - Street 1:PO BOX 11943
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-0943
Mailing Address - Country:US
Mailing Address - Phone:817-390-2821
Mailing Address - Fax:214-666-9832
Practice Address - Street 1:1300 W LANCASTER AVE
Practice Address - Street 2:STE. 132
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-3410
Practice Address - Country:US
Practice Address - Phone:817-390-2821
Practice Address - Fax:214-666-9832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty