Individual
DAVID KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 E HOUSTON ST STE 550, TYLER, TX 75702-8366
(423) 577-2662
Mailing address
509 PILGRIM CT APT 1, JOHNSON CITY, TN 37601-8406
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18118
TX
Other
Enumeration date
03/26/2024
Last updated
08/12/2024
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