Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 99092 | TX |
NPI | 1083939656 |
---|---|
Provider Name | Mrs. Rebecca Suzanne Price-Wood |
First Address | Austin, TX 78702-2023 |
Second Address | Austin, TX 78702-2023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2010 |
Last Update Date | 07/04/2010 |