Organization
RANDALL P. KIRBY, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL PARKER KIRBY MD (PRESIDENT)
(214) 345-5660
Entity
Organization
Contact information
Practice address
8220 WALNUT HILL LN, SUITE 616, DALLAS, TX 75231-4427
(214) 345-5660
(214) 345-5680
Mailing address
PO BOX 650759, DALLAS, TX 75265-0759
(214) 345-5660
(214) 345-5680
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H5716
TX
2086S0129X
Vascular Surgery Physician
H5716
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132099607
—
TX
Enumeration date
06/02/2008
Last updated
11/07/2014
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