Individual
DR. PETER F KIRKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 DUVAL RD STE 100, AUSTIN, TX 78759-3550
(855) 876-7246
(855) 277-5070
Mailing address
PO BOX 208379, DALLAS, TX 75320-0550
(512) 953-8135
(443) 648-6788
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L2966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151254304
—
TX
01
—
2B8684
TEXAS MEDICARE
TX
Enumeration date
07/12/2006
Last updated
03/08/2023
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