Provider Demographics
NPI:1124692181
Name:MCCAW, CARLEY ELIZABETH (CD(DONA))
Entity type:Individual
Prefix:
First Name:CARLEY
Middle Name:ELIZABETH
Last Name:MCCAW
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 BAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76706-2016
Mailing Address - Country:US
Mailing Address - Phone:210-859-2026
Mailing Address - Fax:
Practice Address - Street 1:ST. DAVID'S WOMEN'S CENTER OF TEXAS
Practice Address - Street 2:12221 N MOPAC EXPRESSWAY
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-7870
Practice Address - Country:US
Practice Address - Phone:210-859-2026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14093374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula