Individual
KIRA SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1166
(817) 702-1405
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
AP134841
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP134841
TX
Other
Enumeration date
08/11/2017
Last updated
03/08/2023
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