Provider Demographics
NPI: | 1366709396 |
---|---|
Name: | MINOR, DARLINDA KIRBY (MD) |
Entity type: | Individual |
Prefix: | |
First Name: | DARLINDA |
Middle Name: | KIRBY |
Last Name: | MINOR |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 1000 MAIN STREET |
Mailing Address - Street 2: | STE 2300, #1127 |
Mailing Address - City: | HOUSTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77002 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 281-660-4444 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1000 MAIN STREET |
Practice Address - Street 2: | STE 2300, #1127 |
Practice Address - City: | HOUSTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77002 |
Practice Address - Country: | US |
Practice Address - Phone: | 281-660-4444 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2012-04-16 |
Last Update Date: | 2025-07-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
KY | 50944 | 2084P0800X |
KY | TP192 | 2084P0800X |
390200000X | ||
TX | T0572 | 2084P0800X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
KY | K237660 | Other | KY MEDICARE |