Provider Demographics
NPI:1457171068
Name:AUSTIN BIRTH COMPANY LLC
Entity type:Organization
Organization Name:AUSTIN BIRTH COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEISRE'E
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-240-0237
Mailing Address - Street 1:117 S SEASHORE AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:MS
Mailing Address - Zip Code:39560-5706
Mailing Address - Country:US
Mailing Address - Phone:214-240-0237
Mailing Address - Fax:
Practice Address - Street 1:2111 DICKSON DR STE 20
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-4788
Practice Address - Country:US
Practice Address - Phone:512-900-5987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty