MEDICARE: MR. JOHN D KIRKWOOD DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	J8017	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073598777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN D KIRKWOOD DO

Provider Business Mailing Address
First Line	:	PO BOX 57845
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-7845
Country	:	US
Telephone Number	:	281-249-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 VISTA RD STE 100
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-2160
Country	:	US
Telephone Number	:	281-249-2273
Fax Number	:	281-249-2282

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	02/16/2026

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Directions to “ MR. JOHN D KIRKWOOD DO” Practice Location

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