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Individual

DR. DAVID RUSS IRVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DACCM, LAC, LMT

Contact information

Practice address
2500 W WILLIAM CANNON DR STE 201, AUSTIN, TX 78745-5288
(737) 217-5763
Mailing address
7703 COPANO DR, AUSTIN, TX 78749-3810
(737) 217-5763

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1808
TX
171100000X
Acupuncturist
2459
CO
225700000X
Massage Therapist
100480
TX

Other

Enumeration date
08/23/2020
Last updated
01/20/2024
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