Individual
DR. DEREK A. IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 NE 97TH ST, OKLAHOMA CITY, OK 73114-6302
(405) 842-2061
(405) 842-3146
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19794
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100824700A
—
OK
05
—
154966001
—
AR
01
—
731193626002
BCBS
OK
Enumeration date
01/16/2006
Last updated
07/01/2015
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