Provider Demographics
NPI:1851367205
Name:LITTLEBIRD, FORREST DOUGLAS II (DO, MPH, DTMH)
Entity Type:Individual
Prefix:DR
First Name:FORREST
Middle Name:DOUGLAS
Last Name:LITTLEBIRD
Suffix:II
Gender:M
Credentials:DO, MPH, DTMH
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:403 LA JARA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-3637
Mailing Address - Country:US
Mailing Address - Phone:210-671-6539
Mailing Address - Fax:
Practice Address - Street 1:147 VOYAGER RD
Practice Address - Street 2:
Practice Address - City:JBSA-LACKLAND
Practice Address - State:TX
Practice Address - Zip Code:78236-5116
Practice Address - Country:US
Practice Address - Phone:210-671-6539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A5893207Q00000X, 2083P0500X
HIDOS-6702083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine