Organization
JOHN KIRK MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE J TRICH (OFFICE MANAGER)
(903) 663-8756
Entity
Organization
Contact information
Practice address
705 E MARSHALL AVE, SUITE 3000, LONGVIEW, TX 75601-5573
(903) 315-2700
(903) 663-8765
Mailing address
PO BOX 626, JUDSON, TX 75660-0626
(903) 663-8756
(903) 663-8765
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/03/2013
Last updated
07/23/2014
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