Individual
MR. ANTHONY MICHEAL BIRDOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5601 BRIDGE ST, FORT WORTH, TX 76112-2384
(972) 598-2002
Mailing address
5601 BRIDGE ST, FORT WORTH, TX 76112-2384
(972) 598-2002
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
34427598
TX
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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