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
Phone: (214) 943-8605
Fax: (214) 946-8339
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508067760 | NPPES |
Texas | MEDICAID | 306166505 | |
Texas | MEDICAID | 306166504 | |
Texas | MEDICAID | 306166506 |
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