Organization
BARBARA BIRDWELL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA A BIRDWELL MD (OWNER)
(817) 370-0400
Entity
Organization
Contact information
Practice address
7100 OAKMONT BLVD, SUITE 101, FORT WORTH, TX 76132-3909
(817) 370-0400
(817) 370-0448
Mailing address
7100 OAKMONT BLVD, SUITE 101, FORT WORTH, TX 76132-3909
(817) 370-0400
(817) 370-0448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G8787
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058CZ
BC/BS GROUP NUMBER
TX
05
—
080463501
—
TX
Enumeration date
05/25/2006
Last updated
04/16/2014
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