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Individual

DR. CHARLES F. IRWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8200 WALNUT HILL LN, DALLAS, TX 75231-4426
(214) 345-6148
(214) 345-4322
Mailing address
PO BOX 650426, DALLAS, TX 75265-0426
(972) 715-5007
(972) 715-5682

Taxonomy

Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
G4233
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050064788
RAILROAD
TX
05
114696103
TX
05
114696104
TX
Enumeration date
12/27/2005
Last updated
03/07/2011
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