Organization
MICHELLE A IRVIN MD PA
Active
Other names
Michelle A Irvin MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELINDA EL STEVENS (OFFICE MANAGER)
(512) 341-8001
Entity
Organization
Contact information
Practice address
2410 ROUND ROCK AVE, 200, ROUND ROCK, TX 78681-4003
(512) 341-8001
(512) 341-8011
Mailing address
2410 ROUND ROCK AVE, 200, ROUND ROCK, TX 78681-4003
(512) 341-8001
(512) 341-8011
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
10177
NH
207V00000X
Obstetrics & Gynecology Physician
Primary
H7068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030CQ
BCBS
—
Enumeration date
03/05/2008
Last updated
03/05/2008
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