Provider Demographics
NPI:1558858944
Name:DALLAS MIDWIFE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:DALLAS MIDWIFE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:817-881-6392
Mailing Address - Street 1:622 HEMPHILL ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3179
Mailing Address - Country:US
Mailing Address - Phone:817-881-6392
Mailing Address - Fax:
Practice Address - Street 1:411 N WASHINGTON AVE STE 2700
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1735
Practice Address - Country:US
Practice Address - Phone:214-975-3937
Practice Address - Fax:469-309-7787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-20
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX667798367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty