Organization
WAYNE R. KIRKHAM, M.D. & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE R. KIRKHAM M.D. (HEALTH CARE PROVIDER)
(972) 566-7515
Entity
Organization
Contact information
Practice address
7777 FOREST LN, C-506, DALLAS, TX 75230-2505
(972) 566-7515
(972) 566-7067
Mailing address
7777 FOREST LN, C-506, DALLAS, TX 75230-2505
(972) 566-7515
(972) 566-7067
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E7636
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BM60
—
TX
Enumeration date
10/16/2008
Last updated
04/06/2009
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