Daryl E. Birdwell, M.D., Inc.

LBN: Daryl E. Birdwell, M.D., Inc.
Daryl E. Birdwell, M.D., Inc. is an health care organization with primary practice located at 4417 W Gore Blvd Ste 2 , Lawton OK 73505-5978. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Daryl E. Birdwell, M.D., Inc. can be contacted via phone (580) 248-7417, or through Simmons, Dianna via phone (580) 248-7417.

Contact Information

Primary practice address
4417 W Gore Blvd Ste 2 Lawton OK 73505-5978
Phone: (580) 248-7417
Fax: (580) 248-4847
Website:
Map and Directions
Authorized official contact:
Name: Simmons, Dianna
Phone: (580) 248-7417

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10548OK Oklahoma

Profile Details

NPI number 1972631067
LBN Legal business name Daryl E. Birdwell, M.D., Inc.
DBA Doing business as
Authorized official Simmons, Dianna
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Sep 22nd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972631067 NPPES
Oklahoma Other 10548OK STATE LIC.
Oklahoma MEDICAID 100094050A STATE LIC.

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