MEDICARE: JUDITH A. KIRBY, M.D., P.A.

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	207W00000X	Ophthalmology Physician	J8274	TX

General Provider Information

NPI Number	:	1598978553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUDITH A. KIRBY, M.D., P.A.

Provider Business Mailing Address
First Line	:	10740 N CENTRAL EXPY STE 250
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-2142
Country	:	US
Telephone Number	:	214-253-0202
Fax Number	:	214-253-0203

Provider Business Practice Location Address
First Line	:	10740 N CENTRAL EXPY STE 250
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-2142
Country	:	US
Telephone Number	:	214-253-0202
Fax Number	:	214-253-0203

Authorized Official
Title or Position	:	PRACTICE MGR
Name	:	TRUE D YANDELL
Credential	:
Telephone Number	:	214-253-0205

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	05/09/2024

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