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Contact Information

AVIAN D KIDD, MD
2900 MCKINNON ST # 502
DALLAS, TX75201
 Phone: 972-505-1584
 Fax: 844-582-3627
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for AVIAN D KIDD · (Male)

NPI Number 1629179312
Status Active
Credentials MD
Entity Individual
Enumeration date 09/26/2006
Last updated 08/12/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # M1829
  • TX Medicaid 175473101
  • TX Medicaid 175473103
  • TX Medicaid 175473104
  • TX Medicaid 175473105
  • TX Other 8BR081 BCBS
  • TX Other 8S3699 BCBS
  • TX Other 8X0055 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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