Individual
MR. JAMES MICHAEL KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
454854
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP106076
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109843605
—
TX
05
—
109843610
—
TX
05
—
109843612
—
TX
01
—
8574UD
BCBS
TX
01
—
86225U
BCBS
TX
01
—
8781UG
BCBS TX
TX
Enumeration date
05/04/2006
Last updated
07/01/2020
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