Provider Demographics
NPI:1821621319
Name:SAN ANTONIO NURSE MIDWIFE BIRTH AND WELLNESS CENTER INC
Entity Type:Organization
Organization Name:SAN ANTONIO NURSE MIDWIFE BIRTH AND WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANECHIA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MCIVER-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:210-365-3011
Mailing Address - Street 1:20328 FM 2252
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78266-2614
Mailing Address - Country:US
Mailing Address - Phone:210-901-9082
Mailing Address - Fax:
Practice Address - Street 1:20328 FM 2252
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78266-2614
Practice Address - Country:US
Practice Address - Phone:210-901-9082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-13
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingGroup - Single Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty