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Individual
DR. HOLLY HYDE BIRDSALL
Active
Individual
DR. HOLLY HYDE BIRDSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G9326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83282V
BCBS PROVIDER #
—
Enumeration date
08/10/2006
Last updated
07/08/2007
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