Individual
MR. DAVID IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3610 22ND ST, LUBBOCK, TX 79410-1350
(806) 776-4772
Mailing address
TEXAS TECH UNIVERSITY HEALTH SCIENCES CTR, 3601 4TH STREET, MS 8182, LUBBOCK, TX 79430-0001
(806) 743-2981
(806) 743-2984
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP119890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280957603
—
TX
Enumeration date
01/12/2011
Last updated
11/10/2021
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