Provider Demographics
NPI:1932636784
Name:MASSEY CAPITAL
Entity Type:Organization
Organization Name:MASSEY CAPITAL
Other - Org Name:GENTLE BEGINNINGS BIRTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR/MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:817-734-5761
Mailing Address - Street 1:1726 CHADWICK CT
Mailing Address - Street 2:200
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-3318
Mailing Address - Country:US
Mailing Address - Phone:817-479-0124
Mailing Address - Fax:
Practice Address - Street 1:1726 CHADWICK CT
Practice Address - Street 2:200
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3318
Practice Address - Country:US
Practice Address - Phone:817-479-0124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX150056261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing