Provider Demographics
NPI:1972643930
Name:WOMMACK, NATALIE DENISE (CPM)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:DENISE
Last Name:WOMMACK
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9011 SOLARA BEND CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5094
Mailing Address - Country:US
Mailing Address - Phone:713-376-0163
Mailing Address - Fax:281-313-5527
Practice Address - Street 1:9011 SOLARA BEND CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5094
Practice Address - Country:US
Practice Address - Phone:713-376-0163
Practice Address - Fax:281-313-5527
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2009-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX05017176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife