Provider Demographics
NPI:1710162110
Name:BIRTHING FROM THE HEART PLLC
Entity Type:Organization
Organization Name:BIRTHING FROM THE HEART PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SALA
Authorized Official - Suffix:
Authorized Official - Credentials:ANP
Authorized Official - Phone:940-483-1569
Mailing Address - Street 1:1823 N LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-3069
Mailing Address - Country:US
Mailing Address - Phone:940-483-1569
Mailing Address - Fax:940-483-1570
Practice Address - Street 1:1823 N LOCUST ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3069
Practice Address - Country:US
Practice Address - Phone:940-483-1569
Practice Address - Fax:940-483-1570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX509224367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty