Individual
IRVING L. HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4230 LYNDON B JOHNSON FWY, SUITE 410, DALLAS, TX 75244-5806
(972) 404-8677
Mailing address
14673 MIDWAY RD, SUITE 236, ADDISON, TX 75001-3171
(972) 404-8677
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D7839
TX
Other
Enumeration date
02/05/2008
Last updated
07/18/2008
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