Provider Demographics
NPI:1477852986
Name:CENTRAL TEXAS BIRTH CENTER, PLLC
Entity Type:Organization
Organization Name:CENTRAL TEXAS BIRTH CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:512-552-8631
Mailing Address - Street 1:101 W COOPERATIVE WAY
Mailing Address - Street 2:SUITE 225
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-8208
Mailing Address - Country:US
Mailing Address - Phone:512-763-7569
Mailing Address - Fax:512-868-5584
Practice Address - Street 1:410 W NAKOMA ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2623
Practice Address - Country:US
Practice Address - Phone:210-408-8990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX150015261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing