Birdwell, Katrina Pauline

Birdwell, Katrina Pauline is an individual health care provider with primary practice located at 221 W Colorado Blvd Pav Ii, Suite 532, Dallas TX 75208-2363. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Birdwell, Katrina Pauline can be contacted via phone (214) 943-8605.

Contact Information

Primary practice address
221 W Colorado Blvd Pav Ii, Suite 532 Dallas TX 75208-2363
Fax: (214) 946-8339
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X P0580 Texas
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X P0580 Texas

Profile Details

NPI number 1508067760
LBN Legal business name Birdwell, Katrina Pauline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Dec 19th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508067760 NPPES
Texas MEDICAID 306166505
Texas MEDICAID 306166504
Texas MEDICAID 306166506

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