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NPI Code Detail

MEDICARE: DR. THOMAS M IRWIN JR. MD

MEDICARE: DR. THOMAS M IRWIN JR. MD
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
1207Y00000XOtolaryngology Physician010120LA

Other Identifiers

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

General Provider Information

NPI Number : 1629172358
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS M IRWIN JR. MD
Provider Business Mailing Address
First Line : 1151 BARATARIA BLVD STE 3100
Second Line :
City : MARRERO
State : LA
Zip : 70072-3083
Country : US
Telephone Number : 504-934-8462
Fax Number : 504-371-3811
Provider Business Practice Location Address
First Line : 1151 BARATARIA BLVD STE 3100
Second Line :
City : MARRERO
State : LA
Zip : 70072-3083
Country : US
Telephone Number : 504-934-8461
Fax Number : 504-371-3811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2006
Last Update Date : 05/29/2025

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