NPI 1053063651

Grace Thompson Park, CNM

Practitioner Advanced Practice Midwife Dallas, TX

Practice location

Address: 5200 Harry Hines Blvd, Dallas, TX 75235-7709
Phone: (214) 590-8000
Mailing address: 906 Kensington Dr, Duncanville, TX 75137-2138

Registered specialties (2)

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X

Other Advanced Practice Midwife providers in Texas →

Midwife

Other Service Providers Taxonomy 176B00000X Licence 1069315 (TX)

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Registry record

NPI: 1053063651
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jan 2022
Record last updated: 12 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.