| Mother's Magical Milk | |
|
1015 E Dallas St Ste 2 Mansfield TX 76063-2029 | |
| (817) 405-9661 | |
| Not Available |
| Full Name | Mother's Magical Milk |
|---|---|
| Speciality | Lactation Consultant, Non-rn |
| Location | 1015 E Dallas St Ste 2, Mansfield, Texas |
| Authorized Official Name and Position | Tenise Hordge (OWNER, OPERATOR) |
| Authorized Official Contact | 8174059661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mother's Magical Milk 4602 Spring Lake Pkwy Mansfield TX 76063-5590 Ph: (480) 215-9077 | Mother's Magical Milk 1015 E Dallas St Ste 2 Mansfield TX 76063-2029 Ph: (817) 405-9661 |
| NPI Number | 1003515677 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003515677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 174N00000X | Lactation Consultant, Non-rn | (* (Not Available)) | Primary |
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