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Individual

LAURA IRVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
50 HILLCREST MEDICAL BLVD, STE 208, 303 & 304, WACO, TX 76712-8952
(254) 741-1400
(254) 741-1428
Mailing address
PO BOX 848491, DALLAS, TX 75284-8491

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
R2885
TX

Other

Enumeration date
05/13/2015
Last updated
12/23/2021
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