1427382951 NPI number — FORT WORTH/DALLAS BIRTHING PROJECT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427382951 NPI number — FORT WORTH/DALLAS BIRTHING PROJECT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FORT WORTH/DALLAS BIRTHING PROJECT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427382951
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/06/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 11943
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT WORTH
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76110-0943
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-390-2821
Provider Business Mailing Address Fax Number:
214-666-9832

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1300 W LANCASTER AVE
Provider Second Line Business Practice Location Address:
STE. 132
Provider Business Practice Location Address City Name:
FORT WORTH
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76102-3410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-390-2821
Provider Business Practice Location Address Fax Number:
214-666-9832
Provider Enumeration Date:
09/30/2009

Additional Information

Authorized Official

Authorized Official Last Name:
PERKINS
Authorized Official First Name:
KIMBERLY
Authorized Official Middle Name:
PARISH
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
817-390-2821

Provider Taxonomy Codes

  • Taxonomy code: 374J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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