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Individual
JAMES N IRVINE
Active
Individual
JAMES N IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J3502
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130519507
—
TX
01
—
615799800
DEPARTMENT OF LABOR- ACS #
TX
01
—
870749737
TAX ID
TX
01
—
8F0973
PTAN
TX
Enumeration date
07/19/2006
Last updated
02/25/2013
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