Individual
DR. KATRINA PAULINE BIRDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
221 W COLORADO BLVD, PAV II, SUITE 532, DALLAS, TX 75208-2363
(214) 943-8605
(214) 946-8339
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
P0580
TX
2086X0206X
Surgical Oncology Physician
Primary
P0580
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306166504
—
TX
05
—
306166505
—
TX
05
—
306166506
—
TX
Enumeration date
05/29/2007
Last updated
12/19/2018
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