Individual
FRANK NANCE BIRDSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 PENNSYLVANIA AVE., SRP 2 - ROOM 73, FORT WORTH, TX 76401
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G7436
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050065318
RAILROAD
TX
05
—
129329201
—
TX
05
—
129329202
—
TX
05
—
129329207
—
TX
05
—
129329208
—
TX
05
—
129329209
—
TX
05
—
129329210
—
TX
01
—
83878K
BCBS
TX
01
—
8EH322
BCBS
TX
Enumeration date
12/28/2005
Last updated
04/28/2020
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