Conrad, Lawrence Kirkland

Conrad, Lawrence Kirkland is an individual health care provider with primary practice located at 12554 Riata Vista Cir , Austin TX 78727-6431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Conrad, Lawrence Kirkland can be contacted via phone (512) 795-5100.

Contact Information

Primary practice address
12554 Riata Vista Cir Austin TX 78727-6431
Fax: (512) 795-5122
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 89214 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M4742 Texas

Profile Details

NPI number 1427030410
LBN Legal business name Conrad, Lawrence Kirkland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jan 12th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427030410 NPPES
Texas MEDICAID 183101801
Texas MEDICAID 268597300

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