Individual
DR. MATTHEW WALKER KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0387
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0387
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2006-01702
NC
2085R0202X
Diagnostic Radiology Physician
Primary
N2601
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2059362-04
—
TX
05
—
205936201
—
TX
01
—
8L18340
MEDICARE - COLLIN COUNTY
TX
Enumeration date
03/21/2008
Last updated
08/15/2012
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