Origins Birth And Wellness Dallas

LBN: Origins Birth And Wellness Dallas
Origins Birth And Wellness Dallas is an health care organization with primary practice located at 3100 Swiss Ave , Dallas TX 75204. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Ambulatory Health Care Facilities / Birthing. Ambulatory Health Care Facilities / Birthing is the primary health care specialty. Origins Birth And Wellness Dallas can be contacted via phone (214) 228-1392, or through Tate, Amethyst Fagan via phone (214) 228-1392.

Contact Information

Primary practice address
3100 Swiss Ave Dallas TX 75204
Phone: (214) 228-1392
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tate, Amethyst Fagan CPM
Phone: (214) 228-1392

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 99337 Texas
Ambulatory Health Care Facilities / Birthing 261QB0400X

Profile Details

NPI number 1477047116
LBN Legal business name Origins Birth And Wellness Dallas
DBA Doing business as
Authorized official Tate, Amethyst Fagan CPM
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2018
Last updated Apr 17th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477047116 NPPES
Texas MEDICAID 147744198

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