John Kirk MD

NPI #1174864060 in Longview, Texas

Provider Information

NPI Number: 1174864060
Entity Type: Organization
Organization Name: John Kirk MD
Primary Specialty: Specialist
Enumeration Date: Mar 3, 2013
Last Updated: Jul 23, 2014

Practice Location

Address: 705 E MARSHALL AVE
Address 2: SUITE 3000
City: Longview
State: Texas
ZIP Code: 75601-5573
Phone: (903) 315-2700

Authorized Official

Name: MICHELLE J TRICH
Title: OFFICE MANAGER
Phone: (903) 663-8756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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