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NPI Code Detail

MEDICARE: DR. CHARLES F. IRWIN M.D.

MEDICARE: DR. CHARLES F. IRWIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LA0401XAddiction Medicine (Anesthesiology) PhysicianG4233TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3050064788OTHERTXRAILROAD

General Provider Information

NPI Number : 1093792566
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES F. IRWIN M.D.
Provider Business Mailing Address
First Line : PO BOX 650426
Second Line :
City : DALLAS
State : TX
Zip : 75265-0426
Country : US
Telephone Number : 972-715-5007
Fax Number : 972-715-5682
Provider Business Practice Location Address
First Line : 8200 WALNUT HILL LN
Second Line :
City : DALLAS
State : TX
Zip : 75231-4426
Country : US
Telephone Number : 214-345-6148
Fax Number : 214-345-4322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 03/07/2011

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Directions to “ DR. CHARLES F. IRWIN M.D.” Practice Location

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