Individual
REBECCA TESS BIRDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2485 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6687
(817) 873-0595
(817) 873-0596
Mailing address
2485 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6687
(817) 873-0595
(178) 873-0596
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP135364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
776284
RN LICENSE
TX
01
—
AP135364
APRN LICENSE
TX
Enumeration date
10/09/2017
Last updated
05/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us