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Individual

DR. LOUIS J KIRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
705 E MARSHALL AVE, SUITE 3000, LONGVIEW, TX 75601-5573
(903) 663-8756
(903) 663-8765
Mailing address
PO BOX 626, JUDSON, TX 75660
(903) 663-8756
(903) 663-8765

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E4455
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135661003
TX
05
135661005
TX
Enumeration date
03/02/2006
Last updated
04/11/2013
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