| Dr. Sheila Birth-orthodontics-keller, Llc | |
|
4420 Heritage Trace Pkwy Ste 300 Fort Worth TX 76244-8904 | |
| (817) 348-0910 | |
| Not Available |
| Full Name | Dr. Sheila Birth-orthodontics-keller, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4420 Heritage Trace Pkwy Ste 300, Fort Worth, Texas |
| Authorized Official Name and Position | Sheila Birth (ORTHODONTIST) |
| Authorized Official Contact | 8173480910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Sheila Birth-orthodontics-keller, Llc 4420 Heritage Trace Pkwy Ste 300 Fort Worth TX 76244-8904 Ph: (817) 348-0910 | Dr. Sheila Birth-orthodontics-keller, Llc 4420 Heritage Trace Pkwy Ste 300 Fort Worth TX 76244-8904 Ph: (817) 348-0910 |
| NPI Number | 1962544395 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962544395 | NPI | - | NPPES |
| 172836201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 14150 (Texas) | Primary |
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