Rebecca Tess Birdsall, | |
2485 E Southlake Blvd Ste 100, Southlake, TX 76092-6687 | |
(817) 873-0595 | |
(817) 873-0596 |
Full Name | Rebecca Tess Birdsall |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2485 E Southlake Blvd Ste 100, Southlake, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346750932 | NPI | - | NPPES |
AP135364 | Other | TX | APRN LICENSE |
776284 | Other | TX | RN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP135364 (Texas) | Primary |
Entity Name | Joel A. Holiner, Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346259645 PECOS PAC ID: 9830148923 Enrollment ID: O20050114000793 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Tess Birdsall, 2485 E Southlake Blvd Ste 100, Southlake, TX 76092-6687 Ph: (817) 873-0595 | Rebecca Tess Birdsall, 2485 E Southlake Blvd Ste 100, Southlake, TX 76092-6687 Ph: (817) 873-0595 |
Carmen Santiago, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Carroll Ave, Southlake, TX 76092 Phone: 817-310-1100 Fax: 817-310-1197 | |
Nikita Greenwood, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 817-442-5698 | |
Janice F Rubbelke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Southlake Blvd, Suite 200, Southlake, TX 76092 Phone: 817-488-1956 Fax: 817-488-8675 | |
Mona Lisa Jimenez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775 | |
Britney Molini, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 E State Highway 114 Ste 100, Southlake, TX 76092 Phone: 817-329-8364 | |
Andrew Sadousky, MS, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Miron Dr, Southlake, TX 76092 Phone: 817-328-3000 | |
Pete C Bravo Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2777 E Southlake Blvd Ste 140, Southlake, TX 76092 Phone: 817-686-8104 |