Provider Demographics
NPI:1134984800
Name:RADICLE BIRTHS LLC
Entity type:Organization
Organization Name:RADICLE BIRTHS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:AMARIEE
Authorized Official - Middle Name:SPARRO
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:469-389-0080
Mailing Address - Street 1:9701 MARKET ST APT 250
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-3573
Mailing Address - Country:US
Mailing Address - Phone:469-389-0080
Mailing Address - Fax:
Practice Address - Street 1:9701 MARKET ST APT 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-3573
Practice Address - Country:US
Practice Address - Phone:469-389-0080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
No176B00000XOther Service ProvidersMidwifeGroup - Single Specialty