Provider Demographics
NPI:1235572371
Name:BIRMINGHAM, ASHLEY SHARRELL (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:SHARRELL
Last Name:BIRMINGHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:SHARRELL
Other - Last Name:AKTINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4001 LONG PRAIRIE RD STE 150
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1535
Mailing Address - Country:US
Mailing Address - Phone:972-420-1470
Mailing Address - Fax:972-420-1465
Practice Address - Street 1:4001 LONG PRAIRIE RD STE 150
Practice Address - Street 2:GRADUATE MEDICAL EDUCATION
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028
Practice Address - Country:US
Practice Address - Phone:972-420-1470
Practice Address - Fax:972-420-1465
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ4017207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3753766-01Medicaid