Organization
IRVING CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINH LE D.O. (OWNER)
(972) 924-0600
Entity
Organization
Contact information
Practice address
1451 W AIRPORT FWY, SUITE 1, IRVING, TX 75062-6223
(214) 269-3326
(214) 269-3327
Mailing address
1451 W AIRPORT FWY, SUITE 1, IRVING, TX 75062-6223
(214) 269-3326
(214) 269-3327
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N4546
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372956801
—
TX
Enumeration date
07/29/2016
Last updated
09/11/2018
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