Provider Demographics
NPI:1588617526
Name:AUSTIN AREA BIRTHING CENTER, INC
Entity Type:Organization
Organization Name:AUSTIN AREA BIRTHING CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-346-3224
Mailing Address - Street 1:4100 DUVAL RD
Mailing Address - Street 2:STE 101 BLDG II
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-3550
Mailing Address - Country:US
Mailing Address - Phone:512-346-3224
Mailing Address - Fax:512-345-6637
Practice Address - Street 1:4100 DUVAL RD
Practice Address - Street 2:STE 101 BLDG II
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-3550
Practice Address - Country:US
Practice Address - Phone:512-346-3224
Practice Address - Fax:512-345-6637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007196261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX79LJOtherBLUE CROSS GROUP #
TXHH1608OtherBLUE CROSS FACILITY #