Provider Demographics
NPI:1952802001
Name:OUR COMMUNITY BIRTH CENTER PLLC
Entity Type:Organization
Organization Name:OUR COMMUNITY BIRTH CENTER PLLC
Other - Org Name:BAY AREA COMMUNITY BIRTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALACIO
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:713-472-5525
Mailing Address - Street 1:8453 HOWARD DR STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-4731
Mailing Address - Country:US
Mailing Address - Phone:713-472-5255
Mailing Address - Fax:855-472-3600
Practice Address - Street 1:8453 HOWARD DR STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-4731
Practice Address - Country:US
Practice Address - Phone:713-472-5255
Practice Address - Fax:855-472-3600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-23
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
176B00000X, 367A00000X
TX150069261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingGroup - Multi-Specialty
No176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty