Individual
HOMER D KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
504 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(409) 539-1111
(409) 788-8044
Mailing address
PO BOX 200993, HOUSTON, TX 77216-0993
(281) 784-1111
(281) 784-1555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L4496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F9644
BCBSTX PROV NO
TX
01
—
P00039300
RAILROAD MCARE PROV NO
TX
01
—
P00122953
RAILROAD MEDICARE PROV NO
TX
Enumeration date
12/21/2005
Last updated
07/12/2007
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