Provider Demographics
NPI:1124327184
Name:BELLA BIRTHS
Entity type:Organization
Organization Name:BELLA BIRTHS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYORGA
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, APN
Authorized Official - Phone:214-287-0602
Mailing Address - Street 1:2411 W VIRGINIA PKWY
Mailing Address - Street 2:SUITE 7
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-3508
Mailing Address - Country:US
Mailing Address - Phone:972-542-0349
Mailing Address - Fax:972-542-0349
Practice Address - Street 1:2411 W VIRGINIA PKWY
Practice Address - Street 2:SUITE 7
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-3508
Practice Address - Country:US
Practice Address - Phone:972-542-0349
Practice Address - Fax:972-542-0349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing