Individual
MRS. TAMMY LASHON BIRDOW-DECKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FLOWERING PLUM LN, FORT WORTH, TX 76140-6557
(817) 293-8876
(817) 293-8876
Mailing address
500 FLOWERING PLUM LN, FORT WORTH, TX 76140-6557
(817) 293-8876
(817) 293-8876
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/26/2008
Last updated
12/26/2008
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