Individual
MR. ELMER SCOT IRETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2606 HOSPITAL BLVD STE B, CORPUS CHRISTI, TX 78405-1804
(361) 902-4789
(361) 902-4588
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M5240
TX
207Q00000X
Family Medicine Physician
Primary
M5240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193017411
—
TX
05
—
193017414
—
TX
01
—
1L4890
MEDICARE
TX
01
—
P02601765
MCRR
TX
Enumeration date
12/11/2006
Last updated
04/13/2021
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