Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 99413 | TX |
NPI | 1083230254 |
---|---|
Provider Name | Hali Morgan Tipton |
First Address | Rowlett, TX 75089-2516 |
Second Address | Rowlett, TX 75089-2516 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2020 |
Last Update Date | 23/06/2020 |