Kirby, Randall Parker

Kirby, Randall Parker is an individual health care provider with primary practice located at 9301 N Central Expy, Twr 2 Ste 180A, Dallas TX 75231-0822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kirby, Randall Parker can be contacted via phone (214) 253-0170.

Contact Information

Primary practice address
9301 N Central Expy, Twr 2 Ste 180A Dallas TX 75231-0822
Phone: (214) 253-0170
Fax: (214) 253-0171
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X H5716 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X H5716 Texas

Profile Details

NPI number 1609824978
LBN Legal business name Kirby, Randall Parker
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jun 1st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609824978 NPPES
Texas Other 0015JL BCBS PROVIDER NUMBER
Texas MEDICAID 132099607 BCBS PROVIDER NUMBER
Texas Other H5716 BCBS PROVIDER NUMBER

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