Kueo Birth Center, PLLC

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

KUEO BIRTH CENTER, PLLC

Doing business as

Kueo Birth Center

Practice address

2802 S FM 51 Ste B
Decatur, TX 76234-4020

Phone

(817) 349-7374

Fax

(817) 984-4266

NPI assigned

Nov 19, 2018

Last updated

Nov 19, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Patricia Gross, LM, CPMNPI 1992165880

Title

Owner/Clinical Director

Phone

(817) 349-7374

Specialties & licenses 1

Addresses

Other names 1

• Kueo Birth Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Gross, LM

  • Midwife
  • Roanoke, TX
  • NPI 1992165880
  NPD Authorized official
• Jasmin Suzanne Sun Kanevski, MBA, LM, CPM

  • Midwife
  • Decatur, TX
  • NPI 1871018259
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1851860928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762340128",
            "telephone_number": "817-349-7374",
            "fax_number": "817-984-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 S FM 51 STE B",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762344020",
            "telephone_number": "817-349-7374",
            "fax_number": "817-984-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUEO BIRTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "817-349-7374",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kueo Birth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle S Khoo, MD
• Jenna M Kirby, LM, CPM
• Courtney Diana Kirkland
• Cheree Nicole Kiser, PT
• Jeffrey S Krantz, DO
• Douglas E Kyle Jr., MD
• Travis Andrew Kyle, PA
• KZ MD PLLC
• Laboratory Corporation of America
• Diran Austin Lancaster, DC

• Birthing Clinic/Center in Decatur, TX
• Providers in Decatur, TX by specialty
• Birthing Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.