Irene Rae Willingham in Dallas - Neuromusculoskeletal Medicine, Sports Medicine
Irene Rae Willingham - NPI 1376570101
Irene Rae Willingham is a Neuromusculoskeletal Medicine, Sports Medicine in Dallas, Texas. Irene Rae Willingham practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Irene Rae Willingham is 1376570101. The last update date is 2009-04-11.
Irene Rae Willingham's current location address is 4809 Cole Ave, Dallas, Texas. You can contact this provider via phone number 2145268600 and fax number 2144433897. The mailing address for Irene Rae Willingham is 4809 Cole Ave, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Irene Rae Willingham |
|---|---|
| Address | 4809 Cole Ave, Dallas, Texas |
| Phone Number | 2145268600 |
| Fax Number | 2144433897 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1376570101 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2009-04-11 |
Provider Mailing Address Detail
| Address | 4809 Cole Ave |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752053578 |
| Phone Number | 2145268600 |
| Fax Number | 2144433897 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
| Licence No | H0463 |
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Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
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What is the unique 10-digit identifier code assigned to Irene Rae Willingham by the Centers for Medicare & Medicaid Services?
The Irene Rae Willingham has been issued the NPI (National Provider Identifier) 1376570101 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Irene Rae Willingham located?
The Irene Rae Willingham is located at 4809 Cole Ave, Dallas, TX 752053578.
What is Irene Rae Willingham's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Irene Rae Willingham is Neuromusculoskeletal Medicine, Sports Medicine, and the taxonomy code that categorizes this field of expertise is 204C00000X.
When did the Irene Rae Willingham receive its 1376570101?
The Irene Rae Willingham was issued its 1376570101 on 2006-06-27, which is the date when the organization was assigned this unique identifier.
When was the information related to Irene Rae Willingham most recently updated or refreshed?
The details pertaining to the Irene Rae Willingham, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-04-11.