Clavel Amariz Rotolo, LM, CPM
Individual provider Active NPI Midwife · Valley View, TX
NPI 1043033699 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1043033699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 24070519 (TX)
- Practice address
- 1504 Krahl Rd
Valley View, TX 76272-4130 - Phone
- (817) 791-6670
- NPI assigned
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24070519 | TX | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 24070519 | TX | Yes |
Addresses
Primary practice location
1504 Krahl Rd
Valley View, TX 76272-4130
Mailing address
1504 Krahl Rd
Valley View, TX 76272-4130
Phone (817) 962-7881
Other providers in Valley View, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.