Provider Demographics
NPI:1447895271
Name:FLOURISH BIRTH & WELLNESS CENTER, PLLC
Entity type:Organization
Organization Name:FLOURISH BIRTH & WELLNESS CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GROSS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, CNM, MSN
Authorized Official - Phone:940-241-0789
Mailing Address - Street 1:4061 KIRKPATRICK LN STE 110
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1959
Mailing Address - Country:US
Mailing Address - Phone:940-241-0789
Mailing Address - Fax:
Practice Address - Street 1:4061 KIRKPATRICK LN STE 110
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1897
Practice Address - Country:US
Practice Address - Phone:713-408-3448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-15
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingGroup - Single Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty