MEDICARE: DR. CONNER CHRISTIAN KIRKIKIS 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	207R00000X	Internal Medicine Physician	338259	LA

General Provider Information

NPI Number	:	1891319174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CONNER CHRISTIAN KIRKIKIS DO

Provider Business Mailing Address
First Line	:	8117 PRESTON RD STE 800
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-6328
Country	:	US
Telephone Number	:	972-415-4968
Fax Number	:	469-405-6558

Provider Business Practice Location Address
First Line	:	8117 PRESTON RD STE 800
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-6328
Country	:	US
Telephone Number	:	972-415-4968
Fax Number	:	469-405-6558

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

Provider Enumeration Date	:	06/03/2020
Last Update Date	:	04/27/2026

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