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NPI Code Detail

MEDICARE: DR. KYRA LIJA FERRIGAN OD

MEDICARE:  DR. KYRA LIJA FERRIGAN  OD
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
1152W00000XOptometrist5328TGTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
181345QOTHERTXBCBS
2132372101OTHERTXFIRSTCARE/SOUTHWEST

General Provider Information

NPI Number : 1396775359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYRA LIJA FERRIGAN OD
Provider Business Mailing Address
First Line : 11000 CCC LOOP
Second Line :
City : CANYON
State : TX
Zip : 79015-5619
Country : US
Telephone Number : 806-382-3961
Fax Number :
Provider Business Practice Location Address
First Line : 1900 SE 34TH AVE
Second Line : SUITE 250
City : AMARILLO
State : TX
Zip : 79118-7771
Country : US
Telephone Number : 806-331-6150
Fax Number : 806-410-0567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 04/05/2016

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Directions to “ DR. KYRA LIJA FERRIGAN OD” Practice Location

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