Provider Demographics
NPI:1811502255
Name:LOTUS COMMUNITY BIRTHING CENTER PLLC
Entity type:Organization
Organization Name:LOTUS COMMUNITY BIRTHING CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,
Authorized Official - Prefix:
Authorized Official - First Name:VARSHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NARUMANCHI
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:512-736-4591
Mailing Address - Street 1:11403 HORNSBY ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-2627
Mailing Address - Country:US
Mailing Address - Phone:512-736-4591
Mailing Address - Fax:512-957-2702
Practice Address - Street 1:13805 ANN PL APT B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-7742
Practice Address - Country:US
Practice Address - Phone:512-736-4591
Practice Address - Fax:512-957-2702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-12
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX388838002Medicaid
TX388838001Medicaid