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NPI Code Detail

MEDICARE: DR. JOHN F IRWIN M.D.

MEDICARE: DR. JOHN 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
1207V00000XObstetrics & Gynecology PhysicianD9508TX
2207VG0400XGynecology PhysicianD9508TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
283050GOTHERTXBLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number : 1518960566
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN F IRWIN M.D.
Provider Business Mailing Address
First Line : 7900 FANNIN ST STE 4000
Second Line : OBGYN MEDICAL CENTER ASSOCIATES PLLC
City : HOUSTON
State : TX
Zip : 77054-2935
Country : US
Telephone Number : 713-512-7500
Fax Number : 713-512-7676
Provider Business Practice Location Address
First Line : 7900 FANNIN ST STE 4000
Second Line : OBGYN MEDICAL CENTER ASSOCIATES PLLC
City : HOUSTON
State : TX
Zip : 77054-2935
Country : US
Telephone Number : 713-512-7500
Fax Number : 713-512-7676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/09/2019

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