Avian D Kidd, MD in Dallas, TX

Avian D Kidd, MD is a Internal Medicine physician based in Dallas, Texas. Avian D Kidd is licensed to practice in Texas (license number M1829) and his current practice location is 2900 Mckinnon St # 502, Dallas, Texas. He can be reached at his office (for appointments etc.) via phone at (972) 505-1584.

NPI number for Avian D Kidd is 1629179312 and his current mailing address is 2900 Mckinnon St # 502, Dallas, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629179312.

Contact Information

	Avian D Kidd, MD
	2900 Mckinnon St # 502, Dallas, TX 75201
	(972) 505-1584
	(844) 582-3627

Map and Direction

Physician's Profile

Full Name	Avian D Kidd
Gender	Male
Speciality	Internal Medicine
Location	2900 Mckinnon St # 502, Dallas, Texas
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1629179312
Provider Enumeration Date: 09/26/2006
Last Update Date: 08/12/2019

Medical Identifiers

Medical identifiers for Avian D Kidd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629179312	NPI	-	NPPES
175473105	Medicaid	TX
8X0055	Other	TX	BCBS
175473101	Medicaid	TX
175473104	Medicaid	TX
8S3699	Other	TX	BCBS
175473103	Medicaid	TX
8BR081	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	M1829 (Texas)	Secondary
207R00000X	Internal Medicine	M1829 (Texas)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Avian D Kidd is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Avian D Kidd, MD 2900 Mckinnon St # 502, Dallas, TX 75201-1064 Ph: (972) 505-1584	Avian D Kidd, MD 2900 Mckinnon St # 502, Dallas, TX 75201 Ph: (972) 505-1584

Reviews and Comments

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Avian D Kidd, MD - Internal Medicine in Dallas, TX