Individual
ANGELA LAUREN BIRDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12446 WEST AVE STE 2001244, SAN ANTONIO, TX 78216-2517
(210) 656-3600
(210) 656-3603
Mailing address
12446 WEST AVE, STE 200, SAN ANTONIO, TX 78216-2530
(210) 656-3600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10050795
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
S5325
TX
207RP1001X
Pulmonary Disease Physician
Primary
S5325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582864
PHYSICIAN IN TRAINING LICENSE
TX
01
—
S5325
TEXAS MEDICAL BOARD
TX
Enumeration date
05/13/2014
Last updated
08/23/2021
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