Individual
DR. IRENE RAE WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4809 COLE AVE, SUITE 110, DALLAS, TX 75205-3578
(214) 526-8600
(214) 443-3897
Mailing address
4809 COLE AVE, SUITE 110, DALLAS, TX 75205-3578
(214) 526-8600
(214) 443-3897
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
H0463
TX
Other
Enumeration date
06/27/2006
Last updated
04/11/2009
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