Provider Demographics
NPI:1447745229
Name:BIRGEN, STELLA
Entity Type:Individual
Prefix:
First Name:STELLA
Middle Name:
Last Name:BIRGEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 SANTA FE TRL APT 1037
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-6895
Mailing Address - Country:US
Mailing Address - Phone:214-606-0323
Mailing Address - Fax:972-525-0055
Practice Address - Street 1:210 SANTA FE TRL APT 1037
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-6895
Practice Address - Country:US
Practice Address - Phone:214-606-0323
Practice Address - Fax:972-525-0055
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator