Individual
DR. RICHARD LYNN IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6151 S YALE AVE STE 100A, TULSA, OK 74136-1929
(918) 494-8500
(918) 307-5578
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3310
(918) 488-6001
(918) 488-6010
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
18567
OK
207RI0011X
Interventional Cardiology Physician
Primary
18567
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100 155 910A
—
OK
01
—
P00677680
RAILROAD MEDICARE
OK
Enumeration date
05/20/2006
Last updated
06/13/2019
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