Organization
KIRK, NICHOLSON & REYNOLDS, L.L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
B.J. HARROD (OFFICE MANAGER)
(806) 793-8787
Entity
Organization
Contact information
Practice address
3612 23RD ST, LUBBOCK, TX 79410-1326
(806) 793-8787
(806) 793-0150
Mailing address
3612 23RD ST, LUBBOCK, TX 79410-1326
(806) 793-8787
(806) 793-0150
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094KP
BLUE CROSS/BLUE SHIELD TX
TX
05
—
178559401
—
TX
01
—
CI9814
RAILROAD MEDICARE
TX
Enumeration date
01/24/2007
Last updated
12/17/2007
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