person
Rebecca Tess Birdsall
Psychiatric/Mental Health Nurse Practitioner in Southlake, Texas
NPI 1346750932

Rebecca Tess Birdsall is a Psychiatric/Mental Health Nurse Practitioner based in Southlake, TX and is specialized in Psychiatric/Mental Health. Rebecca Tess Birdsall practices in Southlake, TX. The NPI Number for Rebecca Tess Birdsall is 1346750932 and holds a License No. AP135364 (Texas).

The current practice location address for Rebecca Tess Birdsall is 2485 E Southlake Blvd Ste 100, Southlake, TX and can be reached out via phone at 817-873-0595 and via fax at 817-873-0596.

Location: 2485 E Southlake Blvd Ste 100, Southlake, TX, 76092-6687
person
Provider Profile Details
NPI Number
1346750932
Provider Name
Rebecca Tess Birdsall
Credential
Provider Entity Type
Individual
Gender
Female
Address
2485 E Southlake Blvd Ste 100, Southlake, TX, 76092-6687
Phone Number
817-873-0595
Fax Number
817-873-0596
Provider Enumeration Date
10/09/2017
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP135364 01 TX APRN LICENSE
776284 01 TX RN LICENSE
institution
Provider Business Practice Location Address Details
Address
2485 E Southlake Blvd Ste 100
City
State
Zip
76092-6687
Phone Number
817-873-0595
Fax Number
817-873-0596
person
Provider Business Mailing Address Details
Address
2485 E Southlake Blvd Ste 100
City
State
Zip
76092-6687
Phone Number
817-873-0595
Fax Number
817-873-0596
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP135364 (Texas)
Definition
Definition to come...
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