Provider Demographics
NPI:1003633306
Name:THE BIRTH CENTER OF MIDLAND FACILITY, PLLC
Entity type:Organization
Organization Name:THE BIRTH CENTER OF MIDLAND FACILITY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUOMA
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:432-553-8002
Mailing Address - Street 1:1606 TARLETON ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79703-5119
Mailing Address - Country:US
Mailing Address - Phone:432-203-4226
Mailing Address - Fax:
Practice Address - Street 1:1606 TARLETON ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703-5119
Practice Address - Country:US
Practice Address - Phone:432-203-4226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing