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Individual

MR. CHRISTOPHER KIRK BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-FNP

Contact information

Practice address
1718 S HENDERSON BLVD, KILGORE, TX 75662-3544
(903) 983-2110
(903) 984-3783
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP129870
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
358175301
TX
01
75-2616977-017
TRICARE
TX
01
8GS940
BCBS
TX
01
P01658344
RAIL ROAD MEDICARE
TX
Enumeration date
01/14/2016
Last updated
05/19/2017
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