Provider Demographics
NPI:1811362486
Name:WELLSPRING MIDWIFERY CARE & BIRTH CENTER
Entity Type:Organization
Organization Name:WELLSPRING MIDWIFERY CARE & BIRTH CENTER
Other - Org Name:WMC LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL DIRECTOR & MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSIL
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:832-777-0291
Mailing Address - Street 1:794A RUSSELL PALMER RD
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1613
Mailing Address - Country:US
Mailing Address - Phone:832-777-0291
Mailing Address - Fax:281-825-5575
Practice Address - Street 1:794A RUSSELL PALMER RD
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1613
Practice Address - Country:US
Practice Address - Phone:832-777-0291
Practice Address - Fax:281-825-5575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX150047261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing