Birdsall, Rebecca Tess
Birdsall, Rebecca Tess is an individual health care provider with primary practice located at 2485 E Southlake Blvd Ste 100 , Southlake TX 76092-6687. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Birdsall, Rebecca Tess can be contacted via phone (817) 873-0595.Contact Information
Primary practice address
2485 E Southlake Blvd Ste 100
Southlake TX 76092-6687
Phone: (817) 873-0595
Fax: (817) 873-0596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP135364 | Texas |
Profile Details
| NPI number | 1346750932 |
|---|---|
| LBN Legal business name | Birdsall, Rebecca Tess |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2017 |
| Last updated | May 15th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346750932 | NPPES |
| Texas | Other | AP135364 | APRN LICENSE |
| Texas | Other | 776284 | APRN LICENSE |
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