Provider Demographics
NPI:1104479229
Name:HEARTBEAT MIDWIFERY PLLC
Entity type:Organization
Organization Name:HEARTBEAT MIDWIFERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:806-470-5151
Mailing Address - Street 1:2409 20TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79411-1003
Mailing Address - Country:US
Mailing Address - Phone:806-470-5151
Mailing Address - Fax:
Practice Address - Street 1:2409 20TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79411-1003
Practice Address - Country:US
Practice Address - Phone:806-470-5151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing