Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | J7307 | TX |
Y | 208800000X | Urologist | J7307 | TX |
NPI | 1932169190 |
---|---|
Provider Name | Dr. Erin T. Bird |
First Address | Dallas, TX 75284-7408 |
Second Address | Temple, TX 76508-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 06/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1342719-08 | (05) | TX |
1342719-09 | CSHCN (01) | TX |
8H8615 | BLUE SHIELD (01) | TX |
G25727 | (02) | TX |
P00012894 | RR/MEDICARE (01) | TX |