| Organization Name: | PINEYWOODS MIDWIFE SERVICE, PLLC |
| NPI Number: | 1003150483 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRYSTAL LYNN SMITH (PRESIDENT) |
| Mailing Address: | 303 N East Ave Livingston |
| State: | TX US |
| Postal Code: | 773512964 |
| Phone Number: | 9363272229 |
| Fax Number: | 9363272230 |
| NPI Enumeration Date: | 11/25/2012 |
| NPI Last Update Date: | 03/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QB0400X |
| License Number: | 150026 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Birthing |
| Taxonomy Definition: | |