Provider Demographics
NPI:1548680333
Name:BABYMOON BIRTH SERVICES
Entity type:Organization
Organization Name:BABYMOON BIRTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMACK
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:469-443-6429
Mailing Address - Street 1:101 S JACKSON AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-3939
Mailing Address - Country:US
Mailing Address - Phone:214-629-5829
Mailing Address - Fax:
Practice Address - Street 1:101 S JACKSON AVE STE 300
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-3939
Practice Address - Country:US
Practice Address - Phone:214-629-5829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-21
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99099176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty