Individual
LINDSAY R IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 E BASSE RD, SAN ANTONIO, TX 78209-8353
(210) 930-8400
(210) 930-8402
Mailing address
555 E BASSE RD STE 108, SAN ANTONIO, TX 78209-8329
(210) 804-0485
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J9890
TX
Other
Enumeration date
08/29/2006
Last updated
04/17/2008
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