Organization
TRINA BIVENS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA LASHAWN BOYD (ACCOUNT MANAGER)
(214) 345-6256
Entity
Organization
Contact information
Practice address
7515 GREENVILLE AVE STE 503, DALLAS, TX 75231
(214) 345-5165
(214) 345-5767
Mailing address
7515 GREENVILLE AVE STE 503, DALLAS, TX 75231-3865
(214) 345-5765
(214) 345-5767
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K3557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016MQ
BCBS
TX
Enumeration date
01/23/2008
Last updated
02/15/2008
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