Organization Name: | BABIES 411 LLC |
NPI Number: | 1013394055 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIBA AZIN TILLERY (OWNER) |
Mailing Address: | 2001 Windy Ter Suite B Cedar Park |
State: | TX US |
Postal Code: | 786134289 |
Phone Number: | 5127659599 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2015 |
NPI Last Update Date: | 04/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 664335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |