Individual
DR. TERESA LYNN IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1305 WONDER WORLD DR, SUITE 209, SAN MARCOS, TX 78666-7546
(512) 396-7575
(512) 396-7555
Mailing address
1305 WONDER WORLD DR, SUITE 209, SAN MARCOS, TX 78666-7546
(512) 396-7575
(512) 396-7555
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
K3911
TX
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
TX-K3911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0310765-02
—
TX
Enumeration date
07/14/2005
Last updated
11/04/2013
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