Provider Demographics
NPI:1912239229
Name:HEAVENLY HANDS BIRTHING CENTER, PLLC
Entity Type:Organization
Organization Name:HEAVENLY HANDS BIRTHING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:214-621-0859
Mailing Address - Street 1:908 N GOLIAD ST
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-2231
Mailing Address - Country:US
Mailing Address - Phone:214-621-0859
Mailing Address - Fax:972-771-4262
Practice Address - Street 1:908 N GOLIAD ST
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-2231
Practice Address - Country:US
Practice Address - Phone:214-621-0859
Practice Address - Fax:972-771-4262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2013-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX150004261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing