JOHANNA CONGLETON, CNM, PA
Midwife in Dallas, TX

License number
Texas CNM1795
Category
Midwife
Type
Advanced Practice Midwife
Owner
Name: MALATHI ELLIS MD
Title: PROVIDER/OWNER
Phone: (972) 406-9911
Address
Address 2
9 Medical Pkwy Plaza 4 STE 103, Dallas, TX 75234
6750 N Macarthur Blvd, Irving, TX 75039
National Provider ID: 1447672357
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JOHANNA CONGLETON, CNM, PA at bizstanding.com

JOHANNA CONGLETON CNM PA PLLC

6750 N Macarthur Blvd STE 100, Irving, TX 75039

Doing business as:
Johanna Congleton CNM PA Pllc
Registration:
May 28, 2014
State ID:
0801998548
Business type:
Domestic Limited Liability Company (LLC)
Manager:
Malathi Viswanathan Ellis (Manager)
Agent:
Malathi Ellis,6750 N Macarthur Blvd, Irving, TX 75039 (Physical)
TIN:
32054200269

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