Provider Demographics
NPI:1598978553
Name:JUDITH A. KIRBY, M.D., P.A.
Entity Type:Organization
Organization Name:JUDITH A. KIRBY, M.D., P.A.
Other - Org Name:KIRBY EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MGR
Authorized Official - Prefix:
Authorized Official - First Name:TRUE
Authorized Official - Middle Name:D
Authorized Official - Last Name:YANDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-253-0205
Mailing Address - Street 1:PO BOX 674073
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-4073
Mailing Address - Country:US
Mailing Address - Phone:214-253-0202
Mailing Address - Fax:214-253-0203
Practice Address - Street 1:9301 N CENTRAL EXPY
Practice Address - Street 2:TOWER II STE 180
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0806
Practice Address - Country:US
Practice Address - Phone:214-253-0202
Practice Address - Fax:214-253-0203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8274207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G06748Medicare UPIN