MEDICARE: AGNES K KINRA MD

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	207R00000X	Internal Medicine Physician	J2130	TX

General Provider Information

NPI Number	:	1376652123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AGNES K KINRA MD

Provider Business Mailing Address
First Line	:	5941 DALLAS PKWY
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-9001
Country	:	US
Telephone Number	:	972-758-4455
Fax Number	:	972-758-4433

Provider Business Practice Location Address
First Line	:	5941 DALLAS PKWY STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-9002
Country	:	US
Telephone Number	:	972-758-4455
Fax Number	:	972-758-4433

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	01/05/2026

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