Provider Demographics
NPI:1811230881
Name:KAUFMAN COUNTY BIRTH CENTER
Entity Type:Organization
Organization Name:KAUFMAN COUNTY BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-595-1318
Mailing Address - Street 1:305 W MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:KAUFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75142-1942
Mailing Address - Country:US
Mailing Address - Phone:469-595-1318
Mailing Address - Fax:866-496-1012
Practice Address - Street 1:305 W MULBERRY ST
Practice Address - Street 2:
Practice Address - City:KAUFMAN
Practice Address - State:TX
Practice Address - Zip Code:75142-1942
Practice Address - Country:US
Practice Address - Phone:469-595-1318
Practice Address - Fax:866-496-1012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing