Individual
MR. CHARLES BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3721 EXECUTIVE CENTER DR, #201, AUSTIN, TX 78731-1645
(512) 372-3777
(512) 372-3336
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110618
TX
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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