Provider Demographics
NPI:1528596020
Name:GALVESTON BIRTH CENTER
Entity Type:Organization
Organization Name:GALVESTON BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, RN
Authorized Official - Phone:409-968-0005
Mailing Address - Street 1:712 10TH ST
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-5116
Mailing Address - Country:US
Mailing Address - Phone:409-768-0005
Mailing Address - Fax:281-892-1090
Practice Address - Street 1:712 10TH ST
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-5116
Practice Address - Country:US
Practice Address - Phone:409-768-0005
Practice Address - Fax:281-892-1090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX150055261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing