Individual
CHANCE LOOMIS IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 S COULTER ST STE 200, AMARILLO, TX 79106-1841
(806) 212-6604
(806) 212-0355
Mailing address
PO BOX 840026, DALLAS, TX 75284-0026
(806) 212-6965
(806) 212-6278
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M0440
TX
2086S0129X
Vascular Surgery Physician
Primary
M0440
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204285502
—
TX
Enumeration date
06/11/2007
Last updated
09/20/2024
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