Grant Edwin Kirby in Fort Worth - Physician Assistant
Grant Edwin Kirby - NPI 1578574653
Grant Edwin Kirby is a Physician Assistant in Fort Worth, Texas. Grant Edwin Kirby practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Grant Edwin Kirby is 1578574653. The last update date is 2021-05-05.
Grant Edwin Kirby's current location address is 1500 Cooper St, Fort Worth, Texas. You can contact this provider via phone number 6828857080 and fax number 6828857085. The mailing address for Grant Edwin Kirby is 1500 Cooper St, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Grant Edwin Kirby |
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Address | 1500 Cooper St, Fort Worth, Texas |
Phone Number | 6828857080 |
Fax Number | 6828857085 |
Sole Proprietor | N |
Credentials | PAC |
NPI Number Detail
NPI Number | 1578574653 |
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Provider Enumeration Date | 2006-08-11 |
Last Updated Date | 2021-05-05 |
Provider Mailing Address Detail
Address | 1500 Cooper St |
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City | Fort Worth |
State | Texas (TX) |
Post Code | 761042710 |
Phone Number | 6828857080 |
Fax Number | 6828857085 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA01989 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Grant Edwin Kirby by the Centers for Medicare & Medicaid Services?
The Grant Edwin Kirby has been issued the NPI (National Provider Identifier) 1578574653, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Grant Edwin Kirby's physical address?
The Grant Edwin Kirby is physically located at 1500 Cooper St, in the city of Fort Worth, TX, with the postal code 761042710.
When did the Grant Edwin Kirby receive its 1578574653?
The Grant Edwin Kirby was issued its 1578574653 on 2006-08-11, which is the date when the organization was assigned this unique identifier.
As of what date were the Grant Edwin Kirby's details last updated?
The information pertaining to the Grant Edwin Kirby, including its address, specialty, and other details, was most recently updated on 2021-05-05.
As of what date were the details related to Grant Edwin Kirby most recently updated or revised?
The information pertaining to Grant Edwin Kirby, including its address, specialty, and other relevant details, was last updated or revised on 2021-05-05.