Provider Demographics
NPI:1053960492
Name:KIRBY, HORTENSE DENISE
Entity type:Individual
Prefix:
First Name:HORTENSE
Middle Name:DENISE
Last Name:KIRBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 ALVERSTONE ST APT SUITE
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-4994
Mailing Address - Country:US
Mailing Address - Phone:214-566-2313
Mailing Address - Fax:
Practice Address - Street 1:212 ALVERSTONE ST APT SUITE
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-4994
Practice Address - Country:US
Practice Address - Phone:121-456-6231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula