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Individual

MR. ROBERT RANKIN BIRDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
690 N 14TH ST, 3RD FLOOR, BEAUMONT, TX 77702-1449
(409) 899-7180
(409) 899-7186
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
E5482
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132726407
TX
05
135660201
TX
05
135660202
TX
05
135660204
TX
05
135660206
TX
05
135660210
TX
05
135660211
TX
05
514864YZ21
TX
01
8R1397
BLUE CROSS OF TEXAS
TX
Enumeration date
06/13/2006
Last updated
04/10/2017
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